Port Orange, FL —
OSHA Injury Report: 1290 Port Orange
Injury · Other recordable case
At a glance
On , an injury at 1290 Port Orange in Port Orange, FL 32128 resulted in other recordable case. Employee was visual in department Store.
Where did this happen?
- Establishment
- 1290 Port Orange
- Parent company
- Kohls Inc
- Street
- 1682 Taylor Rd
- City
- Port Orange
- State
- FL
- ZIP
- 32128
- On-site location
- Stockroom/Dock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Visual Set
What happened
I was squatted down reaching for a frame in the shoe stockroom and a ladder that was leaning against the wall fell on my head and back
Injury or illness
Contusion Head Multiple Head Injury
Object or substance involved
Ladder Step-stool Chair
Summary line
I was squatted down reaching for a frame in the shoe stockroom and a ladder that was leaning against the wall fell on my head and back
Employee and industry
- Job description
- Visual
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 64
- Total hours worked
- 68336
- EIN
- 133357362
- Establishment ID
- 1307397
- Employer case #
- K-24-08810
When (timing detail)
- Date of incident
- Time of incident
- 10:30
- 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.