Port Orange, FL —
OSHA Injury Report: 1290 Port Orange
Injury · Other recordable case
At a glance
On , an injury at 1290 Port Orange in Port Orange, FL 32128 resulted in other recordable case. Employee was area Supervisor in department Stores.
Where did this happen?
- Establishment
- 1290 Port Orange
- Parent company
- Kohls Department Stores
- Street
- 1682 Taylor Rd
- City
- Port Orange
- State
- FL
- ZIP
- 32128
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Merchandise Set
What happened
She stepped backwards and trip on ladder and hit back of head on ladder
Injury or illness
Laceration - Head - Multiple Head Injury
Object or substance involved
Ladder Step-stool Chair
Summary line
She stepped backwards and trip on ladder and hit back of head on ladder
Employee and industry
- Job description
- Area Supervisor
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 64
- Total hours worked
- 70214
- EIN
- 133357362
- Establishment ID
- 1111070
- Employer case #
- K-23-07616
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.