Havertown, PA —
OSHA Injury Report: 280 Havertown
Injury · Other recordable case
At a glance
On , an injury at 280 Havertown in Havertown, PA 19083 resulted in other recordable case. Employee was lead in department Stores.
Where did this happen?
- Establishment
- 280 Havertown
- Parent company
- Kohls Department Stores
- Street
- 250 W Chester Pike
- City
- Havertown
- State
- PA
- ZIP
- 19083
- On-site location
- Breakroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Merchandise Set
What happened
there was a puddle on the floor that I did not see. I slipped and fell to my knees and twisted my back.
Injury or illness
Strain or Tear - Trunk - Lower Back Area (Incl. Lumbar & Lumbo-Sacral)
Object or substance involved
Wet Floor
Summary line
there was a puddle on the floor that I did not see. I slipped and fell to my knees and twisted my back.
Employee and industry
- Job description
- lead
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 127
- Total hours worked
- 125023
- EIN
- 133357362
- Establishment ID
- 1110908
- Employer case #
- K-23-08241
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.