Council Bluffs, IA —
OSHA Injury Report: 1166 Council Bluffs
Injury · Other recordable case
At a glance
On , an injury at 1166 Council Bluffs in 3626 Metro Dr, Council Bluffs, IA 51501 resulted in other recordable case. Employee was supervisor in department Store.
Where did this happen?
- Establishment
- 1166 Council Bluffs
- Parent company
- Kohls Inc
- Street
- 3626 Metro Dr
- City
- Council Bluffs
- State
- IA
- ZIP
- 51501
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cleaning
What happened
I was pushing a fixture into the dock from home and when i was done and came back to finish my project i picked up a basket and i about dropped it. Instant pain started in my shoulder and i couldn 't hold anything or lift my arm very high.
Injury or illness
Strain or Tear Upper Extremities Shoulder(s)
Object or substance involved
Product
Summary line
I was pushing a fixture into the dock from home and when i was done and came back to finish my project i picked up a basket and i about dropped it. Instant pain started in my shoulder and i couldn 't hold anything or lift my arm very high.
Employee and industry
- Job description
- Supervisor
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 48
- Total hours worked
- 52725
- EIN
- 133357362
- Establishment ID
- 1307295
- Employer case #
- K-24-08793
When (timing detail)
- Date of incident
- Time of incident
- 16:00
- Filing year
- 2024
- Submitted
- 21FEB2025:20:20:00
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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.