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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 125 MadisonMonona

Injury · Days away from work

On , an injury at 125 MadisonMonona in 2501 W Broadway, Madison, WI 53713 resulted in days away from work. Employee was customer Service in department Stores.

Establishment
125 MadisonMonona
Parent company
Kohls Department Stores
Street
2501 W Broadway
City
Madison
State
WI
ZIP
53713
On-site location
Customer Service
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
55
Days restricted or transferred
92

Merchandise Sale Return

I was carrying 3 soda stream refills into the cash office and tripped on a box or garbage can coming into the cash office. I landed on my left elbow and left knee.

Fracture - Upper Extremities - Elbow

Box Carton Tote

I was carrying 3 soda stream refills into the cash office and tripped on a box or garbage can coming into the cash office. I landed on my left elbow and left knee.

Job description
Customer Service
SOC code
43-4051 — Customer Service Representatives
NAICS code
452210 — Department Stores
NAICS vintage
2017
Avg employees
49
Total hours worked
50550
EIN
133357362
Establishment ID
1111371
Employer case #
K-23-07636
Date of incident
Time of incident
13:10:00.000
Filing year
2023
Submitted
20FEB24:15:59:00

71007

72053

71822

71484

71408

WM 5373

WM 3497

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.