Springfield, IL —
OSHA Injury Report: 102 SpringfieldIL
Injury · Other recordable case
At a glance
On , an injury at 102 SpringfieldIL in Springfield, IL 62704 resulted in other recordable case. Employee was omni Supervisor in department Stores.
Where did this happen?
- Establishment
- 102 SpringfieldIL
- Parent company
- Kohls Department Stores
- Street
- 2901 Veterans Pkwy
- City
- Springfield
- State
- IL
- ZIP
- 62704
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Truck Unload Load
What happened
Loading Amazon on pallets and injured shoulder
Injury or illness
Sprain or Tear - Upper Extremities - Shoulder(s)
Object or substance involved
Box Carton Tote
Summary line
Loading Amazon on pallets and injured shoulder
Employee and industry
- Job description
- Omni Supervisor
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 110
- Total hours worked
- 103255
- EIN
- 133357362
- Establishment ID
- 1111494
- Employer case #
- K-23-08452
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.