Madison, WI —
OSHA Injury Report: 125 MadisonMonona
Injury · Days away from work
At a glance
On , an injury at 125 MadisonMonona in Madison, WI 53713 resulted in days away from work. Employee was customer Service in department Stores.
Where did this happen?
- Establishment
- 125 MadisonMonona
- Parent company
- Kohls Department Stores
- Street
- 2501 W Broadway
- City
- Madison
- State
- WI
- ZIP
- 53713
- On-site location
- Customer Service
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 55
- Days restricted or transferred
- 92
Before the incident
Merchandise Sale Return
What happened
I was carrying 3 soda stream refills into the cash office and tripped on a box or garbage can coming into the cash office. I landed on my left elbow and left knee.
Injury or illness
Fracture - Upper Extremities - Elbow
Object or substance involved
Box Carton Tote
Summary line
I was carrying 3 soda stream refills into the cash office and tripped on a box or garbage can coming into the cash office. I landed on my left elbow and left knee.
Employee and industry
- Job description
- Customer Service
- SOC code
- 43-4051 — Customer Service Representatives
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 49
- Total hours worked
- 50550
- EIN
- 133357362
- Establishment ID
- 1111371
- Employer case #
- K-23-07636
When (timing detail)
- Date of incident
- Time of incident
- 13:10:00.000
- 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.