Appleton, WI —
OSHA Injury Report: 113 Darboy
Injury · Other recordable case
At a glance
On , an injury at 113 Darboy in Appleton, WI 54915 resulted in other recordable case. Employee was service Associ in department Store.
Where did this happen?
- Establishment
- 113 Darboy
- Parent company
- Kohls Inc
- Street
- 3226 E Calumet St
- City
- Appleton
- State
- WI
- ZIP
- 54915
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Merchandise Sale Return
What happened
I was pushing a Z- rail full of clothing and when I led out with left knee my knee twisted and gave out. I felt pulling and cracking with pain in left knee. I limped back to stock room and put Z-rail back . I punched out.
Injury or illness
Strain or Tear Lower Extremities Knee
Object or substance involved
Rolling Equipment (Uboat Z-rail Cart)
Summary line
I was pushing a Z- rail full of clothing and when I led out with left knee my knee twisted and gave out. I felt pulling and cracking with pain in left knee. I limped back to stock room and put Z-rail back . I punched out.
Employee and industry
- Job description
- Service Associ
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 73
- Total hours worked
- 73837
- EIN
- 133357362
- Establishment ID
- 1306470
- Employer case #
- K-24-09061
When (timing detail)
- Date of incident
- Time of incident
- 15:00
- 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.