Beaverton, OR —
OSHA Injury Report: 1002 Beaverton
Injury · Days away from work
At a glance
On , an injury at 1002 Beaverton in Beaverton, OR 97005 resulted in days away from work. Employee was assistant Store Manager in department Stores.
Where did this happen?
- Establishment
- 1002 Beaverton
- Parent company
- Kohls Department Stores
- Street
- 11055 SW Canyon Rd
- City
- Beaverton
- State
- OR
- ZIP
- 97005
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
- Days restricted or transferred
- 66
Before the incident
Fixture Display Assembly
What happened
While moving tables I felt a slight discomfort pain on my left side hip buttocks and lower back areas. Felt constant discomfort pain after setting the tables at this point. [REDACTED]
Injury or illness
Strain or Tear - Trunk - Lower Back Area (Incl. Lumbar & Lumbo-Sacral)
Object or substance involved
Fixture Display
Summary line
While moving tables I felt a slight discomfort pain on my left side hip buttocks and lower back areas. Felt constant discomfort pain after setting the tables at this point. [REDACTED]
Employee and industry
- Job description
- Assistant Store Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 67
- Total hours worked
- 74564
- EIN
- 133357362
- Establishment ID
- 1111874
- Employer case #
- K-23-08195
When (timing detail)
- Date of incident
- Time of incident
- 0:00:00.000
- Submitted
- 20FEB24:17:17:00
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.