Forsyth, IL —
OSHA Injury Report: 127 DecaturIL
Injury · Days away from work
At a glance
On , an injury at 127 DecaturIL in Forsyth, IL 62535 resulted in days away from work. Employee was sales Associate in department Stores.
Where did this happen?
- Establishment
- 127 DecaturIL
- Parent company
- Kohls Department Stores
- Street
- 1080 Hickory Point Mall
- City
- Forsyth
- State
- IL
- ZIP
- 62535
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
Visual Set
What happened
[REDACTED] was hanging decorations on a rolling ladder thought that the wheels were locked and leaned against the wall. The ladder moved and she fell onto her behind.
Injury or illness
Contusion - Trunk - Buttocks
Object or substance involved
Ladder Step-stool Chair
Summary line
[REDACTED] was hanging decorations on a rolling ladder thought that the wheels were locked and leaned against the wall. The ladder moved and she fell onto her behind.
Employee and industry
- Job description
- Sales Associate
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 72
- Total hours worked
- 68695
- EIN
- 133357362
- Establishment ID
- 1111493
- Employer case #
- K-23-08294
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.