Lacey, WA —
OSHA Injury Report: 1119 Lacey
Injury · Other recordable case
At a glance
On , an injury at 1119 Lacey in Lacey, WA 98503 resulted in other recordable case. Employee was beauty Advisor in department Stores.
Where did this happen?
- Establishment
- 1119 Lacey
- Parent company
- Kohls Department Stores
- Street
- 681 Sleater Kinney Rd 1000
- City
- Lacey
- State
- WA
- ZIP
- 98503
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Fixture Display Assembly
What happened
I went to override the light switch for Sephora and tripped over a loose cord and hit the concrete hard.
Injury or illness
Contusion - Multiple Body Parts - Multiple Body Parts (Including Body Systems & Body Parts)
Object or substance involved
Electrical Cord
Summary line
I went to override the light switch for Sephora and tripped over a loose cord and hit the concrete hard.
Employee and industry
- Job description
- Beauty Advisor
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 75
- Total hours worked
- 70292
- EIN
- 133357362
- Establishment ID
- 1111899
- Employer case #
- K-23-07893
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.