Clarksville, TN —
OSHA Injury Report: 1019 Clarksville
Injury · Other recordable case
At a glance
On , an injury at 1019 Clarksville in Clarksville, TN 37040 resulted in other recordable case. Employee was service Associate in department Stores.
Where did this happen?
- Establishment
- 1019 Clarksville
- Parent company
- Kohls Department Stores
- Street
- 2840 Wilma Rudolph Blvd
- City
- Clarksville
- State
- TN
- ZIP
- 37040
- On-site location
- Point of SaleRegisters
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Merchandise Sale Return
What happened
Associate was looking through the registers at the end of the day after we had closed and was coming out from behind register 5 when she fell and smacked the back of her head on the floor. She got up finished her shift and is still not feeling right.
Injury or illness
Concussion - Head - Multiple Head Injury
Object or substance involved
Flooring - Carpet Tile Transition
Summary line
Associate was looking through the registers at the end of the day after we had closed and was coming out from behind register 5 when she fell and smacked the back of her head on the floor. She got up finished her shift and is still not feeling right.
Employee and industry
- Job description
- Service Associate
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 65
- Total hours worked
- 71153
- EIN
- 133357362
- Establishment ID
- 1111132
- Employer case #
- K-23-08289
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.