Jacksonville, FL —
OSHA Injury Report: 1201 Orange Park West
Injury · Days away from work
At a glance
On , an injury at 1201 Orange Park West in Jacksonville, FL 32222 resulted in days away from work. Employee was associate in department Stores.
Where did this happen?
- Establishment
- 1201 Orange Park West
- Parent company
- Kohls Department Stores
- Street
- 9701 Crosshill Blvd
- City
- Jacksonville
- State
- FL
- ZIP
- 32222
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 56
- Days restricted or transferred
- 66
Before the incident
Truck Unload Load
What happened
Speaking pleasantries with my Supervisor. I turned around and walking backwards the heal of my shoe caught the marble floor. The other shoe then caught which caused me to hop backwards resulting in my falling on the lumbar area of my back.
Injury or illness
Fracture - Trunk - Lower Back Area (Incl. Lumbar & Lumbo-Sacral)
Object or substance involved
Flooring - Carpet Tile Transition
Summary line
Speaking pleasantries with my Supervisor. I turned around and walking backwards the heal of my shoe caught the marble floor. The other shoe then caught which caused me to hop backwards resulting in my falling on the lumbar area of my back.
Employee and industry
- Job description
- Associate
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 66
- Total hours worked
- 66074
- EIN
- 133357362
- Establishment ID
- 1111073
- Employer case #
- K-23-07862
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.