Evans, GA —
OSHA Injury Report: 166 Evans
Injury · Other recordable case
At a glance
On , an injury at 166 Evans in Evans, GA 30809 resulted in other recordable case. Employee was store Support Lead in department Stores.
Where did this happen?
- Establishment
- 166 Evans
- Parent company
- Kohls Department Stores
- Street
- 4227 Washington Rd
- City
- Evans
- State
- GA
- ZIP
- 30809
- On-site location
- Customer Service
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Merchandise Sale Return
What happened
Was carrying 4 sheets that were returned to the [REDACTED] Web Ex area. I tripped on the black mat on the floor behind the register #25. Fell on my right side right hand hip knee.
Injury or illness
Strain or Tear - Multiple Body Parts - Multiple Body Parts (Including Body Systems & Body Parts)
Object or substance involved
Flooring - Carpet Tile Transition
Summary line
Was carrying 4 sheets that were returned to the [REDACTED] Web Ex area. I tripped on the black mat on the floor behind the register #25. Fell on my right side right hand hip knee.
Employee and industry
- Job description
- Store Support Lead
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 72
- Total hours worked
- 84504
- EIN
- 133357362
- Establishment ID
- 1111060
- Employer case #
- K-23-08548
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.