Lacey, WA —
OSHA Injury Report: 1119 Lacey
Injury · Days away from work
At a glance
On , an injury at 1119 Lacey in Lacey, WA 98503 resulted in days away from work. Employee was operations Lead 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
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
Packing
What happened
To grab a box that was stored under I ducked under metal shelving that holds all of the omni boxes in the omni packing area and hit head full force on the way out from ducking under and grabbing the box.
Injury or illness
Concussion - Head - Multiple Head Injury
Object or substance involved
Fixture Display
Summary line
To grab a box that was stored under I ducked under metal shelving that holds all of the omni boxes in the omni packing area and hit head full force on the way out from ducking under and grabbing the box.
Employee and industry
- Job description
- Operations Lead
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 75
- Total hours worked
- 70292
- EIN
- 133357362
- Establishment ID
- 1111899
- Employer case #
- K-23-07948
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.