West Melbourne, FL —
OSHA Injury Report: 1327 West Melbourne
Injury · Other recordable case
At a glance
On , an injury at 1327 West Melbourne in West Melbourne, FL 32904 resulted in other recordable case. Employee was area Supervisor in department Stores.
Where did this happen?
- Establishment
- 1327 West Melbourne
- Parent company
- Kohls Department Stores
- Street
- 205 Palm Bay Rd
- City
- West Melbourne
- State
- FL
- ZIP
- 32904
- On-site location
- Parking Lot
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Recovery
What happened
Went out to gather shopping carts. I was walking behind some customers and saw a cart to the right. I went to cross the median and tripped over a shrub root.
Injury or illness
Contusion - Upper Extremities - Elbow
Object or substance involved
Landscaping
Summary line
Went out to gather shopping carts. I was walking behind some customers and saw a cart to the right. I went to cross the median and tripped over a shrub root.
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
- 67
- Total hours worked
- 77124
- EIN
- 133357362
- Establishment ID
- 1111088
- Employer case #
- K-23-08477
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.