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 service Associa 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
- Salesfloor
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 14
Before the incident
Fixture Display Assembly
What happened
I was lifting a white shelf off the wall from above my head i heard a pop in my shoulder and immediately felt pain.
Injury or illness
Strain or Tear Upper Extremities Shoulder(s)
Object or substance involved
Shelving Racking
Summary line
I was lifting a white shelf off the wall from above my head i heard a pop in my shoulder and immediately felt pain.
Employee and industry
- Job description
- Service Associa
- 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-24-08884
When (timing detail)
- Date of incident
- Time of incident
- 18:45
- 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.