Appleton, WI —
OSHA Injury Report: 121 Appleton North
Injury · Other recordable case
At a glance
On , an injury at 121 Appleton North in Appleton, WI 54914 resulted in other recordable case. Employee was operations Supervisor in department Stores.
Where did this happen?
- Establishment
- 121 Appleton North
- Parent company
- Kohls Department Stores
- Street
- 800 W Northland Ave
- City
- Appleton
- State
- WI
- ZIP
- 54914
- On-site location
- Trailer
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Truck Unload Load
What happened
I was walking down the ramp and thought I was at the end and was not and stepped off the side. My ankle slammed into the cement.
Injury or illness
Sprain or Tear - Lower Extremities - Ankle
Object or substance involved
Dock Door Dock Plate
Summary line
I was walking down the ramp and thought I was at the end and was not and stepped off the side. My ankle slammed into the cement.
Employee and industry
- Job description
- Operations Supervisor
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 85
- Total hours worked
- 86935
- EIN
- 133357362
- Establishment ID
- 1111386
- Employer case #
- K-23-08163
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.