Prescott Valley, AZ — 2023-05-15

OSHA Injury Report: 1089 Prescott Valley

Injury · Other recordable case

At a glance

On 2023-05-15, an injury at 1089 Prescott Valley in 3280 Glasford Hill, Prescott Valley, AZ 86314 resulted in other recordable case. Employee was area Supervisor in department Stores.

Where did this happen?

Establishment: 1089 Prescott Valley
Parent company: Kohls Department Stores
Street: 3280 Glasford Hill
City: Prescott Valley
State: AZ
ZIP: 86314
On-site location: Salesfloor

What was the outcome?

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

Before the incident

Stocking

What happened

[REDACTED] was merchandising in Home Decor when a shelf fell on her then caused her to fall into another fixture and hit her head

Injury or illness

Contusion - Head - Multiple Head Injury

Object or substance involved

Fixture Display

Summary line

[REDACTED] was merchandising in Home Decor when a shelf fell on her then caused her to fall into another fixture and hit her head

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: 50
Total hours worked: 52267
EIN: 133357362
Establishment ID: 1111733
Employer case #: K-23-07863

When (timing detail)

Date of incident: 2023-05-15
Time of incident: 0:00:00.000
Filing year: 2023
Submitted: 20FEB24:17:17:00

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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.