Ukiah, CA —
OSHA Injury Report: 1383 Ukiah
Injury · Other recordable case
At a glance
On , an injury at 1383 Ukiah in Ukiah, CA 95482 resulted in other recordable case. Employee was service associate in department Stores.
Where did this happen?
- Establishment
- 1383 Ukiah
- Parent company
- Kohls Department Stores
- Street
- 437 N Orchard Ave
- City
- Ukiah
- State
- CA
- ZIP
- 95482
- On-site location
- Customer Service
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Recovery
What happened
Associate tripped over a box and fell on the ground
Injury or illness
Sprain or Tear - Upper Extremities - Shoulder(s)
Object or substance involved
Box Carton Tote
Summary line
Associate tripped over a box and fell on the ground
Employee and industry
- Job description
- Service associate
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 53
- Total hours worked
- 61242
- EIN
- 133357362
- Establishment ID
- 1111860
- Employer case #
- K-23-07910
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.