Shirley, NY —
OSHA Injury Report: 379 Shirley
Injury · Days away from work
At a glance
On , an injury at 379 Shirley in Shirley, NY 11967 resulted in days away from work. Employee was assistant Store Manager in department Stores.
Where did this happen?
- Establishment
- 379 Shirley
- Parent company
- Kohls Department Stores
- Street
- 99921 Montauk Hwy
- City
- Shirley
- State
- NY
- ZIP
- 11967
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 41
- Days restricted or transferred
- 139
Before the incident
Truck Unload Load
What happened
while taking a rail of clothing off the truck I stepped on the ramp of the dock plate that gave way causing me to fall into the gap followed by the zrail falling on me
Injury or illness
Contusion - Lower Extremities - Upper Leg
Object or substance involved
Dock Door Dock Plate
Summary line
while taking a rail of clothing off the truck I stepped on the ramp of the dock plate that gave way causing me to fall into the gap followed by the zrail falling on me
Employee and industry
- Job description
- Assistant Store Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 88
- Total hours worked
- 96734
- EIN
- 133357362
- Establishment ID
- 1110836
- Employer case #
- K-23-07527
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.