Lutz, FL —
OSHA Injury Report: 1025 Tampa North
Injury · Other recordable case
At a glance
On , an injury at 1025 Tampa North in 3979 Van Dyke Rd, Lutz, FL 33558 resulted in other recordable case. Employee was operations Supervisor in department Stores.
Where did this happen?
- Establishment
- 1025 Tampa North
- Parent company
- Kohls Department Stores
- Street
- 3979 Van Dyke Rd
- City
- Lutz
- State
- FL
- ZIP
- 33558
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
LP Apprehension
What happened
Associate was maced during an LP incident
Injury or illness
Burn - Head - Multiple Head Injury
Object or substance involved
Tools Equipment
Summary line
Associate was maced during an LP incident
Employee and industry
- Job description
- Operations Supervisor
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 77
- Total hours worked
- 82540
- EIN
- 133357362
- Establishment ID
- 1111101
- Employer case #
- K-23-08359
When (timing detail)
- Date of incident
- Time of incident
- 0:00:00.000
- Submitted
- 20FEB24:17:17:00
More injuries in this industry (NAICS 452210)
STATEN ISLAND, NY—
71007
NEW YORK, NY—
72053
NAPLES, FL—
71822
MONTEBELLO, CA—
71484
ROSEVILLE, CA—
71408
More injuries in FL
BROOKSVILLE, FL—
WM 4818
WEST PALM BEACH, FL—
WM 4446
PENSACOLA, FL—
WM 3785
MELBOURNE, FL—
WM 3538
POMPANO BEACH, FL—
WM 2962
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.