Jackson, TN —
OSHA Injury Report: 789 JacksonTN
Injury · Job transfer or restriction
At a glance
On , an injury at 789 JacksonTN in Jackson, TN 38305 resulted in job transfer or restriction. Employee was customer Service in department Stores.
Where did this happen?
- Establishment
- 789 JacksonTN
- Parent company
- Kohls Department Stores
- Street
- 1131 Vann Dr
- City
- Jackson
- State
- TN
- ZIP
- 38305
- On-site location
- Parking Lot
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 75
Before the incident
Office Work
What happened
Associate slip on a patch of ice.
Injury or illness
Contusion - Upper Extremities - Shoulder(s)
Object or substance involved
Curb Pavement Pothole
Summary line
Associate slip on a patch of ice.
Employee and industry
- Job description
- Customer Service
- SOC code
- 43-4051 — Customer Service Representatives
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 52
- Total hours worked
- 61885
- EIN
- 133357362
- Establishment ID
- 1111150
- Employer case #
- K-23-07583
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.