Fairfax, VA —
OSHA Injury Report: 312 Fair Lakes
Injury · Other recordable case
At a glance
On , an injury at 312 Fair Lakes in Fairfax, VA 22033 resulted in other recordable case. Employee was supervisor in department Store.
Where did this happen?
- Establishment
- 312 Fair Lakes
- Parent company
- Kohls Inc
- Street
- 12551 Fair Lakes Cir
- City
- Fairfax
- State
- VA
- ZIP
- 22033
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Picking
What happened
Associate was walking from the [REDACTED] pickup area after placing an order there. A customer was running from the Intimates area and struck the associate and the associate fell. She injured her right arm and wrist and her left hip.
Injury or illness
Contusion Multiple Body Parts Insufficient Info to Identify - Unclassified
Object or substance involved
Flooring - Carpet Tile Transition
Summary line
Associate was walking from the [REDACTED] pickup area after placing an order there. A customer was running from the Intimates area and struck the associate and the associate fell. She injured her right arm and wrist and her left hip.
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
- Avg employees
- 64
- Total hours worked
- 64135
- EIN
- 133357362
- Establishment ID
- 1306643
- Employer case #
- K-24-08829
When (timing detail)
- Date of incident
- Time of incident
- 0:00
- 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.