Jacksonville, FL —
OSHA Injury Report: 786 Atlantic Blvd
Injury · Other recordable case
At a glance
On , an injury at 786 Atlantic Blvd in Jacksonville, FL 32225 resulted in other recordable case. Employee was floor Supervisor in department Stores.
Where did this happen?
- Establishment
- 786 Atlantic Blvd
- Parent company
- Kohls Department Stores
- Street
- 11824 Atlantic Blvd
- City
- Jacksonville
- State
- FL
- ZIP
- 32225
- 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
While unloading the truck I stepped on a hard tag pin. It went through the bottom of my shoe and into my foot.
Injury or illness
Puncture - Lower Extremities - Foot
Object or substance involved
EAS Tag
Summary line
While unloading the truck I stepped on a hard tag pin. It went through the bottom of my shoe and into my foot.
Employee and industry
- Job description
- Floor Supervisor
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 76
- Total hours worked
- 73806
- EIN
- 133357362
- Establishment ID
- 1111074
- Employer case #
- K-23-07684
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.