Appleton, WI —
OSHA Injury Report: 121 Appleton North
Injury · Days away from work
At a glance
On , an injury at 121 Appleton North in 800 W Northland Ave, Appleton, WI 54914 resulted in days away from work. Employee was area Supervisor in department Stores.
Where did this happen?
- Establishment
- 121 Appleton North
- Parent company
- Kohls Department Stores
- Street
- 800 W Northland Ave
- City
- Appleton
- State
- WI
- ZIP
- 54914
- On-site location
- Parking Lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 10
- Days restricted or transferred
- 66
Before the incident
Other
What happened
[REDACTED] was walking to move her car in the parking lot and slipped and fell backwards hitting her head and tried to catch herself with her arm and hurt her arm as well.
Injury or illness
Fracture - Upper Extremities - Wrist
Object or substance involved
Snow Ice Water Ice Melt
Summary line
[REDACTED] was walking to move her car in the parking lot and slipped and fell backwards hitting her head and tried to catch herself with her arm and hurt her arm as well.
Employee and industry
- Job description
- Area Supervisor
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 85
- Total hours worked
- 86935
- EIN
- 133357362
- Establishment ID
- 1111386
- Employer case #
- K-23-07507
When (timing detail)
- Date of incident
- Time of incident
- 7:00:00.000
- Filing year
- 2023
- Submitted
- 20FEB24:15:59:00
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View 121 Appleton North'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.