Jacksonville, FL —
OSHA Injury Report: 787 Jacksonville SE
Injury · Other recordable case
At a glance
On , an injury at 787 Jacksonville SE in Jacksonville, FL 32258 resulted in other recordable case. Employee was full Time Flex in department Store.
Where did this happen?
- Establishment
- 787 Jacksonville SE
- Parent company
- Kohls Inc
- Street
- 13760 Old St Augustine Rd
- City
- Jacksonville
- State
- FL
- ZIP
- 32258
- On-site location
- Trailer
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Truck Unload Load
What happened
The load bar holder permanently sticking off the side of the trailer while unloading the trailer I hit my right elbow on the fixture
Injury or illness
Contusion Upper Extremities Elbow
Object or substance involved
Tools Equipment
Summary line
The load bar holder permanently sticking off the side of the trailer while unloading the trailer I hit my right elbow on the fixture
Employee and industry
- Job description
- Full Time Flex
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 77
- Total hours worked
- 88776
- EIN
- 133357362
- Establishment ID
- 1307081
- Employer case #
- K-24-09375
When (timing detail)
- Date of incident
- Time of incident
- 8:00
- 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.