Fayetteville, GA —
OSHA Injury Report: 438 FayettevilleGA
Injury · Other recordable case
At a glance
On , an injury at 438 FayettevilleGA in Fayetteville, GA 30214 resulted in other recordable case. Employee was operations Supervisor in department Stores.
Where did this happen?
- Establishment
- 438 FayettevilleGA
- Parent company
- Kohls Department Stores
- Street
- 300 Pavillion Pkwy
- City
- Fayetteville
- State
- GA
- ZIP
- 30214
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Truck Unload Load
What happened
Associate hurt his back loading boxes onto Amazon trailer
Injury or illness
Strain or Tear - Trunk - Lower Back Area (Incl. Lumbar & Lumbo-Sacral)
Object or substance involved
Box Carton Tote
Summary line
Associate hurt his back loading boxes onto Amazon trailer
Employee and industry
- Job description
- Operations Supervisor
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 65
- Total hours worked
- 60639
- EIN
- 133357362
- Establishment ID
- 1111052
- Employer case #
- K-23-07592
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.