Brownsburg, IN —
OSHA Injury Report: 1104 Brownsburg
Injury · Other recordable case
At a glance
On , an injury at 1104 Brownsburg in Brownsburg, IN 46112 resulted in other recordable case. Employee was customer Servic in department Store.
Where did this happen?
- Establishment
- 1104 Brownsburg
- Parent company
- Kohls Inc
- Street
- 580 W Northfield Dr
- City
- Brownsburg
- State
- IN
- ZIP
- 46112
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Office Work
What happened
Was walking back to customer service and tripped and went flying forward unable to catch myself. I fell straight forward on both knees hands and elbows. My water bottle spilled water all over the floor. Then I notified the manager on duty.
Injury or illness
Strain or Tear Lower Extremities Knee
Object or substance involved
Flooring - Carpet Tile Transition
Summary line
Was walking back to customer service and tripped and went flying forward unable to catch myself. I fell straight forward on both knees hands and elbows. My water bottle spilled water all over the floor. Then I notified the manager on duty.
Employee and industry
- Job description
- Customer Servic
- SOC code
- 43-4051 — Customer Service Representatives
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 73
- Total hours worked
- 72237
- EIN
- 133357362
- Establishment ID
- 1307241
- Employer case #
- K-24-09110
When (timing detail)
- Date of incident
- Time of incident
- 5:45
- 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.