Peoria, AZ —
OSHA Injury Report: 1084 Lake Pleasant
Injury · Other recordable case
At a glance
On , an injury at 1084 Lake Pleasant in Peoria, AZ 85383 resulted in other recordable case. Employee was admin Assistant in department Stores.
Where did this happen?
- Establishment
- 1084 Lake Pleasant
- Parent company
- Kohls Department Stores
- Street
- 10072 W Happy Valley Rd
- City
- Peoria
- State
- AZ
- ZIP
- 85383
- On-site location
- CurbSidewalk
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Office Work
What happened
[REDACTED] was walking into the store for her shift around [REDACTED]. She stepped onto the curb both feet were on the curb. Shes not sure what caused the fall.
Injury or illness
Contusion - Multiple Body Parts - Multiple Body Parts (Including Body Systems & Body Parts)
Object or substance involved
Curb Pavement Pothole
Summary line
[REDACTED] was walking into the store for her shift around [REDACTED]. She stepped onto the curb both feet were on the curb. Shes not sure what caused the fall.
Employee and industry
- Job description
- Admin Assistant
- SOC code
- 43-6014 — Secretaries and Administrative Assistants, Except Legal, Medical, and Executive
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 69
- Total hours worked
- 78979
- EIN
- 133357362
- Establishment ID
- 1111727
- Employer case #
- K-23-07733
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.