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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Roseville, CA —

OSHA Injury Report: 680 Roseville West

Injury · Other recordable case

At a glance

On , an injury at 680 Roseville West in 10375 Fairway Dr, Roseville, CA 95678 resulted in other recordable case. Employee was sales Lead in department Stores.

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Where did this happen?

Establishment
680 Roseville West
Parent company
Kohls Department Stores
Street
10375 Fairway Dr
City
Roseville
State
CA
ZIP
95678
On-site location
StockroomDock

What was the outcome?

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

Before the incident

Replenishment

What happened

Fell from the ladder.

Injury or illness

All Other Specific Injuries NOC - Multiple Body Parts - Insufficient Info to Identify - Unclassified

Object or substance involved

Ladder Step-stool Chair

Summary line

Fell from the ladder.

Employee and industry

Job description
Sales Lead
SOC code
41-2031 — Retail Salespersons
NAICS code
452210 — Department Stores
NAICS vintage
2017
Avg employees
107
Total hours worked
112951
EIN
133357362
Establishment ID
1111864
Employer case #
K-23-08097

When (timing detail)

Date of incident
Time of incident
12:15:00.000
Filing year
2023
Submitted
20FEB24:16:00:00

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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.