Roseville, CA —
OSHA Injury Report: 680 Roseville West
Injury · Other recordable case
At a glance
On , an injury at 680 Roseville West in Roseville, CA 95678 resulted in other recordable case. Employee was area Supervisor in department Stores.
Where did this happen?
- Establishment
- 680 Roseville West
- Parent company
- Kohls Department Stores
- Street
- 10375 Fairway Dr
- City
- Roseville
- State
- CA
- ZIP
- 95678
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Office Work
What happened
I was walking downstairs from second floor holding luggage in each hand and i missed 1 or 2 steps
Injury or illness
Sprain or Tear - Lower Extremities - Ankle
Object or substance involved
Flooring - Carpet Tile Transition
Summary line
I was walking downstairs from second floor holding luggage in each hand and i missed 1 or 2 steps
Employee and industry
- Job description
- Area Supervisor
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 107
- Total hours worked
- 112951
- EIN
- 133357362
- Establishment ID
- 1111864
- Employer case #
- K-23-07727
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.