Vancouver, WA —
OSHA Injury Report: 1117 Hazel Dell
Injury · Days away from work
At a glance
On , an injury at 1117 Hazel Dell in Vancouver, WA 98665 resulted in days away from work. Employee was hardlines Super in department Store.
Where did this happen?
- Establishment
- 1117 Hazel Dell
- Parent company
- Kohls Inc
- Street
- 9312 NE 5th Ave
- City
- Vancouver
- State
- WA
- ZIP
- 98665
- On-site location
- Customer Service
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 44
- Days restricted or transferred
- 136
Before the incident
Fixture Display Assembly
What happened
associate was helping move fixtures in hallmark area she was on her tip toes and when she moved to assist she felt and heard a pop in the back of right ankle.
Injury or illness
Rupture Lower Extremities Ankle
Object or substance involved
Fixture Display
Summary line
associate was helping move fixtures in hallmark area she was on her tip toes and when she moved to assist she felt and heard a pop in the back of right ankle.
Employee and industry
- Job description
- Hardlines Super
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 53
- Total hours worked
- 62059
- EIN
- 133357362
- Establishment ID
- 1307252
- Employer case #
- K-24-08756
When (timing detail)
- Date of incident
- Time of incident
- 11:15
- 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.