Clive, IA —
OSHA Injury Report: 103 Clive
Injury · Other recordable case
At a glance
On , an injury at 103 Clive in 10201 University Ave, Clive, IA 50325 resulted in other recordable case. Employee was customer Servic in department Store.
Where did this happen?
- Establishment
- 103 Clive
- Parent company
- Kohls Inc
- Street
- 10201 University Ave
- City
- Clive
- State
- IA
- ZIP
- 50325
- On-site location
- Unk
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Unk
What happened
put an item in wire bin and bent over to pick up and heard a pop coming from my right breast
Injury or illness
Strain or Tear Trunk Chest (Incl. Ribs Sternum & Soft Tissue)
Object or substance involved
Other
Summary line
put an item in wire bin and bent over to pick up and heard a pop coming from my right breast
Employee and industry
- Job description
- Customer Servic
- SOC code
- 43-4051 — Customer Service Representatives
- NAICS code
- 452210 — Department Store
- NAICS vintage
- 2017
- Avg employees
- 78
- Total hours worked
- 73902
- EIN
- 133357362
- Establishment ID
- 1306460
- Employer case #
- K-24-08905
When (timing detail)
- Date of incident
- Filing year
- 2024
- Submitted
- 21FEB2025:22:00:00
More injuries at 103 Clive
View 103 Clive's full OSHA safety record →
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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.