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 service 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
- Office Area
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Office Work
What happened
Employee had been working in jewelry area and cleaning. She was returning E-signs to training room when she turned to place E-signs down on the table she felt her back snap.
Injury or illness
Strain or Tear - Trunk - Lumbar & or Sacral Vertebrae (Vertebra NOC Trunk)
Object or substance involved
Sign Graphic
Summary line
Employee had been working in jewelry area and cleaning. She was returning E-signs to training room when she turned to place E-signs down on the table she felt her back snap.
Employee and industry
- Job description
- Service
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 64
- Total hours worked
- 70214
- EIN
- 133357362
- Establishment ID
- 1111070
- Employer case #
- K-23-07541
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.