Davenport, IA —
OSHA Injury Report: 201 Davenport
Injury · Other recordable case
At a glance
On , an injury at 201 Davenport in Davenport, IA 52807 resulted in other recordable case. Employee was visual Lead in department Store.
Where did this happen?
- Establishment
- 201 Davenport
- Parent company
- Kohls Inc
- Street
- 3910 Elmore Ave
- City
- Davenport
- State
- IA
- ZIP
- 52807
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Fixture Display Assembly
What happened
[REDACTED] was moving shelves and when she did she popped her clavicle out of place.
Injury or illness
Sprain or Tear Upper Extremities Shoulder(s)
Object or substance involved
Shelving Racking
Summary line
[REDACTED] was moving shelves and when she did she popped her clavicle out of place.
Employee and industry
- Job description
- Visual Lead
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 68
- Total hours worked
- 69089
- EIN
- 133357362
- Establishment ID
- 1306538
- Employer case #
- K-24-09113
When (timing detail)
- Date of incident
- Time of incident
- 10:00
- 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.