Papillion, NE —
OSHA Injury Report: 117 Papillion
Injury · Other recordable case
At a glance
On , an injury at 117 Papillion in Papillion, NE 68133 resulted in other recordable case. Employee was service Supervi in department Store.
Where did this happen?
- Establishment
- 117 Papillion
- Parent company
- Kohls Inc
- Street
- 8909 S 71st Plaza
- City
- Papillion
- State
- NE
- ZIP
- 68133
- On-site location
- Point of Sale/Registers
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Equipment Maintenance
What happened
I was fixing registers I was trying to take the pinpads off of their mount pair them with the registers and reconnect. I finished with one and realized I my arm wouldn 't move without severe pain to my shoulder
Injury or illness
Inflammation Upper Extremities Shoulder(s)
Object or substance involved
Tools Equipment
Summary line
I was fixing registers I was trying to take the pinpads off of their mount pair them with the registers and reconnect. I finished with one and realized I my arm wouldn 't move without severe pain to my shoulder
Employee and industry
- Job description
- Service Supervi
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 74
- Total hours worked
- 70402
- EIN
- 133357362
- Establishment ID
- 1306473
- Employer case #
- K-24-08960
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.