Queen Creek, AZ —
OSHA Injury Report: 1207 Queen Creek
Injury · Days away from work
At a glance
On , an injury at 1207 Queen Creek in Queen Creek, AZ 85242 resulted in days away from work. Employee was loss Prevention Supervisor in department Stores.
Where did this happen?
- Establishment
- 1207 Queen Creek
- Parent company
- Kohls Department Stores
- Street
- 21058 S Ellsworth Loop Rd
- City
- Queen Creek
- State
- AZ
- ZIP
- 85242
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 35
Before the incident
Maintenance Activities
What happened
I was on a ladder attempting to place a camera. I lost my balance and the ladder started to sway. I attempted to grab onto the shelving to maintain balance. I decided my best course of action would be to let go and land on my feet rather
Injury or illness
Sprain or Tear - Lower Extremities - Ankle
Object or substance involved
Ladder Step-stool Chair
Summary line
I was on a ladder attempting to place a camera. I lost my balance and the ladder started to sway. I attempted to grab onto the shelving to maintain balance. I decided my best course of action would be to let go and land on my feet rather
Employee and industry
- Job description
- Loss Prevention Supervisor
- SOC code
- 33-1091 — First-Line Supervisors of Security Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 70
- Total hours worked
- 75850
- EIN
- 133357362
- Establishment ID
- 1111717
- Employer case #
- K-23-08577
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.