Riverside, CA —
OSHA Injury Report: 1390 Riverside at Tyler
Injury · Other recordable case
At a glance
On , an injury at 1390 Riverside at Tyler in Riverside, CA 92503 resulted in other recordable case. Employee was service Associate in department Stores.
Where did this happen?
- Establishment
- 1390 Riverside at Tyler
- Parent company
- Kohls Department Stores
- Street
- 3520 Tyler St
- City
- Riverside
- State
- CA
- ZIP
- 92503
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Recovery
What happened
[REDACTED] was walking to the dock to throw away a bag of shoe box trash. [REDACTED] grazed the ladder and he heard it falling and it landed on the back of his head.
Injury or illness
Contusion - Head - Multiple Head Injury
Object or substance involved
Ladder Step-stool Chair
Summary line
[REDACTED] was walking to the dock to throw away a bag of shoe box trash. [REDACTED] grazed the ladder and he heard it falling and it landed on the back of his head.
Employee and industry
- Job description
- Service Associate
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 70
- Total hours worked
- 84308
- EIN
- 133357362
- Establishment ID
- 1111797
- Employer case #
- K-23-07840
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.