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 associate 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
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Recovery
What happened
Walking down aisle and foot stuttered on floor and I fell to the floor hitting hand elbow knee and ribs
Injury or illness
Contusion Trunk Chest (Incl. Ribs Sternum & Soft Tissue)
Object or substance involved
Flooring - Carpet Tile Transition
Summary line
Walking down aisle and foot stuttered on floor and I fell to the floor hitting hand elbow knee and ribs
Employee and industry
- Job description
- Associate
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 123
- Total hours worked
- 114496
- EIN
- 133357362
- Establishment ID
- 1306736
- Employer case #
- K-24-08757
When (timing detail)
- Date of incident
- Time of incident
- 21:00
- 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.