Lady Lake, FL —
OSHA Injury Report: 1229 Lady Lake
Injury · Job transfer or restriction
At a glance
On , an injury at 1229 Lady Lake in Lady Lake, FL 32159 resulted in job transfer or restriction. Employee was merchandising L in department Store.
Where did this happen?
- Establishment
- 1229 Lady Lake
- Parent company
- Kohls Inc
- Street
- 492 N Hwy 27 441
- City
- Lady Lake
- State
- FL
- ZIP
- 32159
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 69
Before the incident
Replenishment
What happened
I was walking and my shoe caught on the tile and I fell forward
Injury or illness
Fracture Upper Extremities Shoulder(s)
Object or substance involved
Flooring - Carpet Tile Transition
Summary line
I was walking and my shoe caught on the tile and I fell forward
Employee and industry
- Job description
- Merchandising L
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 64
- Total hours worked
- 64793
- EIN
- 133357362
- Establishment ID
- 1307350
- Employer case #
- K-24-09366
When (timing detail)
- Date of incident
- Time of incident
- 13:45
- 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.