Peoria, AZ —
OSHA Injury Report: 1084 Lake Pleasant
Injury · Job transfer or restriction
At a glance
On , an injury at 1084 Lake Pleasant in Peoria, AZ 85383 resulted in job transfer or restriction. Employee was pt Associate in department Store.
Where did this happen?
- Establishment
- 1084 Lake Pleasant
- Parent company
- Kohls Inc
- Street
- 10072 W Happy Valley Rd
- City
- Peoria
- State
- AZ
- ZIP
- 85383
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 162
Before the incident
Recovery
What happened
Heading toward womens active to put away go backs and tripped on a fixture that was empty in the gift zone.
Injury or illness
Contusion Upper Extremities Shoulder(s)
Object or substance involved
Fixture Display
Summary line
Heading toward womens active to put away go backs and tripped on a fixture that was empty in the gift zone.
Employee and industry
- Job description
- Pt Associate
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 66
- Total hours worked
- 74518
- EIN
- 133357362
- Establishment ID
- 1307226
- Employer case #
- K-24-08822
When (timing detail)
- Date of incident
- Time of incident
- 20:00
- Filing year
- 2024
- Submitted
- 21FEB2025:20:20:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.