Massapequa Park, NY —
OSHA Injury Report: 417 Massapequa
Injury · Other recordable case
At a glance
On , an injury at 417 Massapequa in Massapequa Park, NY 11762 resulted in other recordable case. Employee was visual Merchand in department Store.
Where did this happen?
- Establishment
- 417 Massapequa
- Parent company
- Kohls Inc
- Street
- 5300 Sunrise Hwy
- City
- Massapequa Park
- State
- NY
- ZIP
- 11762
- 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
There was a wooden skid with merchandise on it on the floor at the end of the aisle blocking the aisle by approximately 6 inches and my foot hit the corner of the skid and I tripped and turned falling onto the floor a
Injury or illness
Contusion Trunk Sacrum Coccyx
Object or substance involved
Merchandise
Summary line
There was a wooden skid with merchandise on it on the floor at the end of the aisle blocking the aisle by approximately 6 inches and my foot hit the corner of the skid and I tripped and turned falling onto the floor a
Employee and industry
- Job description
- Visual Merchand
- SOC code
- 13-1022 — Wholesale and Retail Buyers, Except Farm Products
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 123
- Total hours worked
- 114496
- EIN
- 133357362
- Establishment ID
- 1306736
- Employer case #
- K-24-09090
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.