Petaluma, CA —
OSHA Injury Report: 760 Petaluma
Injury · Job transfer or restriction
At a glance
On , an injury at 760 Petaluma in Petaluma, CA 94954 resulted in job transfer or restriction. Employee was sup in department Stores.
Where did this happen?
- Establishment
- 760 Petaluma
- Parent company
- Kohls Department Stores
- Street
- 1363 N McDowell Blvd
- City
- Petaluma
- State
- CA
- ZIP
- 94954
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 31
Before the incident
Truck Unload Load
What happened
lifting boxes from freight unload with a combination of lifting weights at the gym giving pain on my left arm
Injury or illness
Strain or Tear - Upper Extremities - Shoulder(s)
Object or substance involved
Dock Door Dock Plate
Summary line
lifting boxes from freight unload with a combination of lifting weights at the gym giving pain on my left arm
Employee and industry
- Job description
- sup
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 60
- Total hours worked
- 65965
- EIN
- 133357362
- Establishment ID
- 1111843
- Employer case #
- K-23-07661
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.