Vancouver, WA —
OSHA Injury Report: 1003 Vancouver SE
Injury · Days away from work
At a glance
On , an injury at 1003 Vancouver SE in Vancouver, WA 98684 resulted in days away from work. Employee was assistant Store Manager in department Stores.
Where did this happen?
- Establishment
- 1003 Vancouver SE
- Parent company
- Kohls Department Stores
- Street
- 17001 SE Mill Plain Blvd
- City
- Vancouver
- State
- WA
- ZIP
- 98684
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 10
Before the incident
Truck Unload Load
What happened
During unloading our truck. While moving boxes and tossing boxes into the compactor I felt my back go out. Through out the day I felt it get worse.
Injury or illness
Strain or Tear - Trunk - Lower Back Area (Incl. Lumbar & Lumbo-Sacral)
Object or substance involved
Box Carton Tote
Summary line
During unloading our truck. While moving boxes and tossing boxes into the compactor I felt my back go out. Through out the day I felt it get worse.
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
- 76
- Total hours worked
- 79724
- EIN
- 133357362
- Establishment ID
- 1111901
- Employer case #
- K-23-08282
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.