Lutz, FL —
OSHA Injury Report: 1025 Tampa North
Injury · Other recordable case
At a glance
On , an injury at 1025 Tampa North in Lutz, FL 33558 resulted in other recordable case. Employee was operations Supervisor in department Stores.
Where did this happen?
- Establishment
- 1025 Tampa North
- Parent company
- Kohls Department Stores
- Street
- 3979 Van Dyke Rd
- City
- Lutz
- State
- FL
- ZIP
- 33558
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
LP Apprehension
What happened
Associate was maced during an LP incident
Injury or illness
Burn - Head - Multiple Head Injury
Object or substance involved
Tools Equipment
Summary line
Associate was maced during an LP incident
Employee and industry
- Job description
- Operations Supervisor
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 77
- Total hours worked
- 82540
- EIN
- 133357362
- Establishment ID
- 1111101
- Employer case #
- K-23-08359
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.