Fort Wayne, IN —
OSHA Injury Report: 679 Fort Wayne East
Injury · Other recordable case
At a glance
On , an injury at 679 Fort Wayne East in Fort Wayne, IN 46835 resulted in other recordable case. Employee was lead in department Stores.
Where did this happen?
- Establishment
- 679 Fort Wayne East
- Parent company
- Kohls Department Stores
- Street
- 10310 Maysville Rd
- City
- Fort Wayne
- State
- IN
- ZIP
- 46835
- 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 moving a box onto a lower shelf and injured her elbow.
Injury or illness
Strain or Tear - Upper Extremities - Elbow
Object or substance involved
Box Carton Tote
Summary line
The associate was moving a box onto a lower shelf and injured her elbow.
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
- 70
- Total hours worked
- 68145
- EIN
- 133357362
- Establishment ID
- 1111265
- Employer case #
- K-23-07662
When (timing detail)
- Date of incident
- Time of incident
- 0:00:00.000
- Submitted
- 20FEB24:17:19:00
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.