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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Monument, CO —

OSHA Injury Report: 1064 Monument

Injury · Other recordable case

At a glance

On , an injury at 1064 Monument in 15866 Jackson Creek Pkwy, Monument, CO 80132 resulted in other recordable case. Employee was sales Supervisor in department Stores.

Where did this happen?

Establishment
1064 Monument
Parent company
Kohls Department Stores
Street
15866 Jackson Creek Pkwy
City
Monument
State
CO
ZIP
80132
On-site location
StockroomDock

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

Maintenance Activities

What happened

Was opening back door for delivery attempted to move the door stop rock when I injured my knee.

Injury or illness

Sprain or Tear - Lower Extremities - Knee

Object or substance involved

Door

Summary line

Was opening back door for delivery attempted to move the door stop rock when I injured my knee.

Employee and industry

Job description
Sales Supervisor
SOC code
41-1011 — First-Line Supervisors of Retail Sales Workers
NAICS code
452210 — Department Stores
NAICS vintage
2017
Avg employees
49
Total hours worked
50430
EIN
133357362
Establishment ID
1111673
Employer case #
K-23-08501

When (timing detail)

Date of incident
Time of incident
12:00:00.000
Filing year
2023
Submitted
20FEB24:15:59:00

More injuries at 1064 Monument

View 1064 Monument's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.