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 parttime Retail Associate 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
Stocking
What happened
Associate banged elbow and it swoll with a goose egg. She does take blood thinner. We did call the nurse
Injury or illness
Contusion - Upper Extremities - Elbow
Object or substance involved
Fixture Display
Summary line
Associate banged elbow and it swoll with a goose egg. She does take blood thinner. We did call the nurse
Employee and industry
- Job description
- Parttime Retail Associate
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 64
- Total hours worked
- 70214
- EIN
- 133357362
- Establishment ID
- 1111070
- Employer case #
- K-23-07995
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.