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 service 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
The associate was driving a pallet inside a trailer door number 2 when the door of the trailer started to close on him which resulted on the door hitting him in the center of head and shoulders before he could made it inside the trailer.
Injury or illness
Concussion - Head - Multiple Head Injury
Object or substance involved
Door
Summary line
The associate was driving a pallet inside a trailer door number 2 when the door of the trailer started to close on him which resulted on the door hitting him in the center of head and shoulders before he could made it inside the trailer.
Employee and industry
- Job description
- Service Supervisor
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 65
- Total hours worked
- 60639
- EIN
- 133357362
- Establishment ID
- 1111052
- Employer case #
- K-23-07789
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.