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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Roseville, CA —

OSHA Injury Report: 680 Roseville West

Injury · Job transfer or restriction

At a glance

On , an injury at 680 Roseville West in 10375 Fairway Dr, Roseville, CA 95678 resulted in job transfer or restriction. Employee was associate in department Store.

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Where did this happen?

Establishment
680 Roseville West
Parent company
Kohls Inc
Street
10375 Fairway Dr
City
Roseville
State
CA
ZIP
95678
On-site location
Restroom

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
150

Before the incident

Office Work

What happened

I wallked into the women 's restroom and as I entered I tripped over the partially up door stopper and fell flat on my face body.

Injury or illness

Strain or Tear Lower Extremities Knee

Object or substance involved

Dock Door Dock Plate

Summary line

I wallked into the women 's restroom and as I entered I tripped over the partially up door stopper and fell flat on my face body.

Employee and industry

Job description
Associate
SOC code
41-2031 — Retail Salespersons
NAICS code
452210 — Department Store
NAICS vintage
2017
Avg employees
93
Total hours worked
93637
EIN
133357362
Establishment ID
1306978
Employer case #
K-24-08676

When (timing detail)

Date of incident
Time of incident
18:04
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.