Shirley, NY —
OSHA Injury Report: 379 Shirley
Injury · Days away from work
At a glance
On , an injury at 379 Shirley in 99921 Montauk Hwy, Shirley, NY 11967 resulted in days away from work. Employee was sales Associate in department Stores.
Where did this happen?
- Establishment
- 379 Shirley
- Parent company
- Kohls Department Stores
- Street
- 99921 Montauk Hwy
- City
- Shirley
- State
- NY
- ZIP
- 11967
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
Merchandise Set
What happened
I went to get an rt table out the stockroom that had a lot of equipment on it and also surrounding the floor. When I was removing an item off the floor a metal shelf fell from the rt table and hit me on the right side of my head.
Injury or illness
Contusion - Head - Multiple Head Injury
Object or substance involved
Tools Equipment
Summary line
I went to get an rt table out the stockroom that had a lot of equipment on it and also surrounding the floor. When I was removing an item off the floor a metal shelf fell from the rt table and hit me on the right side of my head.
Employee and industry
- Job description
- Sales Associate
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 88
- Total hours worked
- 96734
- EIN
- 133357362
- Establishment ID
- 1110836
- Employer case #
- K-23-07811
When (timing detail)
- Date of incident
- Time of incident
- 12:00:00.000
- Filing year
- 2023
- Submitted
- 20FEB24:15:59:00
More injuries at 379 Shirley
View 379 Shirley'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.