San Luis Obispo, CA ·
OSHA Injury Report: 1378 San Luis Obispo
Injury · Other recordable case
At a glance
On , an injury at 1378 San Luis Obispo in 205 Madonna Rd, San Luis Obispo, CA 93405 resulted in other recordable case. Employee was supervisor in department Store.
Where did this happen?
- Establishment
- 1378 San Luis Obispo
- Parent company
- Kohls Inc
- Street
- 205 Madonna Rd
- City
- San Luis Obispo
- State
- CA
- ZIP
- 93405
- On-site location
- Stockroom/Dock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Fixture Display Assembly
What happened
I was pushing a table to the stockroom and I ran over my foot toes with the table
Injury or illness
Contusion Lower Extremities Foot
Object or substance involved
Dock Door Dock Plate
Summary line
I was pushing a table to the stockroom and I ran over my foot toes with the table
Employee and industry
- Job description
- Supervisor
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210: Department Store
- NAICS vintage
- 2017
- Employees at this establishment (2024 average)
- 42
- Hours worked at this establishment (2024 total)
- 51,607
- EIN
- 133357362
- Establishment ID
- 1307463
- Employer case #
- K-24-09061
When (timing detail)
- Date of incident
- Time of incident
- 14:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-21
More injuries at 1378 San Luis Obispo
View 1378 San Luis Obispo's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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