Clackamas, OR —
OSHA Injury Report: 1108 Clackamas
Injury · Days away from work
At a glance
On , an injury at 1108 Clackamas in Clackamas, OR 97015 resulted in days away from work. Employee was service Area Su in department Store.
Where did this happen?
- Establishment
- 1108 Clackamas
- Parent company
- Kohls Inc
- Street
- 8500 SE Sunnyside Rd
- City
- Clackamas
- State
- OR
- ZIP
- 97015
- On-site location
- Customer Service
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 30
- Days restricted or transferred
- 43
Before the incident
Replenishment
What happened
Before entering the breakroom slipped on wet floor fell down on left side.
Injury or illness
Contusion Lower Extremities Hip
Object or substance involved
Wet Floor
Summary line
Before entering the breakroom slipped on wet floor fell down on left side.
Employee and industry
- Job description
- Service Area Su
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 67
- Total hours worked
- 69917
- EIN
- 133357362
- Establishment ID
- 1307245
- Employer case #
- K-24-08954
When (timing detail)
- Date of incident
- Time of incident
- 9:30
- 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.