Vancouver, WA —
OSHA Injury Report: 1117 Hazel Dell
Injury · Days away from work
At a glance
On , an injury at 1117 Hazel Dell in 9312 NE 5th Ave, Vancouver, WA 98665 resulted in days away from work. Employee was service Associa in department Store.
Where did this happen?
- Establishment
- 1117 Hazel Dell
- Parent company
- Kohls Inc
- Street
- 9312 NE 5th Ave
- City
- Vancouver
- State
- WA
- ZIP
- 98665
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
- Days restricted or transferred
- 14
Before the incident
Fixture Display Assembly
What happened
I was lifting a white shelf off the wall from above my head i heard a pop in my shoulder and immediately felt pain.
Injury or illness
Strain or Tear Upper Extremities Shoulder(s)
Object or substance involved
Shelving Racking
Summary line
I was lifting a white shelf off the wall from above my head i heard a pop in my shoulder and immediately felt pain.
Employee and industry
- Job description
- Service Associa
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 53
- Total hours worked
- 62059
- EIN
- 133357362
- Establishment ID
- 1307252
- Employer case #
- K-24-08884
When (timing detail)
- Date of incident
- Time of incident
- 18:45
- Filing year
- 2024
- Submitted
- 21FEB2025:20:20:00
More injuries at 1117 Hazel Dell
View 1117 Hazel Dell's full OSHA safety record →
More injuries in this industry (NAICS 452210)
STATEN ISLAND, NY—
71007
NEW YORK, NY—
72053
NAPLES, FL—
71822
MONTEBELLO, CA—
71484
ROSEVILLE, CA—
71408
More injuries in WA
VANCOUVER, WA—
WM 5461
MARYSVILLE, WA—
WM 2595
Kent, WA—
Washington SCC
Lynden, WA—
Axiom Construction & Consulting
Spokane Valley, WA—
Sullivan SNF Healthcare LLC
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.