Blaine, MN —
OSHA Injury Report: 179 Blaine
Injury · Days away from work
At a glance
On , an injury at 179 Blaine in Blaine, MN 55449 resulted in days away from work. Employee was part time in department Stores.
Where did this happen?
- Establishment
- 179 Blaine
- Parent company
- Kohls Department Stores
- Street
- 10311 Baltimore St
- City
- Blaine
- State
- MN
- ZIP
- 55449
- On-site location
- Customer Service
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 17
- Days restricted or transferred
- 22
Before the incident
Merchandise Sale Return
What happened
Associate tripped on a box and fell behind customer service.
Injury or illness
Concussion - Head - Multiple Head Injury
Object or substance involved
Box Carton Tote
Summary line
Associate tripped on a box and fell behind customer service.
Employee and industry
- Job description
- Part time
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 77
- Total hours worked
- 82645
- EIN
- 133357362
- Establishment ID
- 1111410
- Employer case #
- K-23-07546
When (timing detail)
- Date of incident
- Time of incident
- 0:00:00.000
- Submitted
- 20FEB24:17:18:00
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.