Forked River, NJ —
OSHA Injury Report: 1235 Lacey Township
Injury · Other recordable case
At a glance
On , an injury at 1235 Lacey Township in Forked River, NJ 8731 resulted in other recordable case. Employee was operations Asso in department Store.
Where did this happen?
- Establishment
- 1235 Lacey Township
- Parent company
- Kohls Inc
- Street
- 304 N Main St
- City
- Forked River
- State
- NJ
- ZIP
- 8731
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Ad Set
What happened
The associate was finishing up her ad set for the day and a customer dropped something in the gifting area. [REDACTED] stopped to see if she could assist. She turned her head and her foot stuck to the floor and she fell to the ground
Injury or illness
Contusion Lower Extremities Hip
Object or substance involved
Flooring - Carpet Tile Transition
Summary line
The associate was finishing up her ad set for the day and a customer dropped something in the gifting area. [REDACTED] stopped to see if she could assist. She turned her head and her foot stuck to the floor and she fell to the ground
Employee and industry
- Job description
- Operations Asso
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 60
- Total hours worked
- 57235
- EIN
- 133357362
- Establishment ID
- 1307355
- Employer case #
- K-24-08700
When (timing detail)
- Date of incident
- Time of incident
- 10:45
- 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.