Monument, CO —
OSHA Injury Report: 1064 Monument
Injury · Other recordable case
At a glance
On , an injury at 1064 Monument in Monument, CO 80132 resulted in other recordable case. Employee was sales Supervisor in department Stores.
Where did this happen?
- Establishment
- 1064 Monument
- Parent company
- Kohls Department Stores
- Street
- 15866 Jackson Creek Pkwy
- City
- Monument
- State
- CO
- ZIP
- 80132
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Maintenance Activities
What happened
Was opening back door for delivery attempted to move the door stop rock when I injured my knee.
Injury or illness
Sprain or Tear - Lower Extremities - Knee
Object or substance involved
Door
Summary line
Was opening back door for delivery attempted to move the door stop rock when I injured my knee.
Employee and industry
- Job description
- Sales Supervisor
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 49
- Total hours worked
- 50430
- EIN
- 133357362
- Establishment ID
- 1111673
- Employer case #
- K-23-08501
When (timing detail)
- Date of incident
- Time of incident
- 12:00:00.000
- Submitted
- 20FEB24:15:59:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.