Surprise, AZ —
OSHA Injury Report: 1231 Surprise South
Injury · Other recordable case
At a glance
On , an injury at 1231 Surprise South in Surprise, AZ 85379 resulted in other recordable case. Employee was shoe Lead in department Stores.
Where did this happen?
- Establishment
- 1231 Surprise South
- Parent company
- Kohls Department Stores
- Street
- 15357 W Cactus Rd
- City
- Surprise
- State
- AZ
- ZIP
- 85379
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Stocking
What happened
I was putting shoes on the shelf and felt a sharp pain in my right arm shoulder area. It now gives me a sharp pain when liftin my arm up to shoulder level and above.
Injury or illness
Strain or Tear - Upper Extremities - Multiple Upper Extremities
Object or substance involved
Merchandise
Summary line
I was putting shoes on the shelf and felt a sharp pain in my right arm shoulder area. It now gives me a sharp pain when liftin my arm up to shoulder level and above.
Employee and industry
- Job description
- Shoe Lead
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 62
- Total hours worked
- 59753
- EIN
- 133357362
- Establishment ID
- 1111726
- Employer case #
- K-23-08080
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.