Appleton, WI —
OSHA Injury Report: 113 Darboy
Injury · Other recordable case
At a glance
On , an injury at 113 Darboy in 3226 E Calumet St, Appleton, WI 54915 resulted in other recordable case. Employee was service associate in department Stores.
Where did this happen?
- Establishment
- 113 Darboy
- Parent company
- Kohls Department Stores
- Street
- 3226 E Calumet St
- City
- Appleton
- State
- WI
- ZIP
- 54915
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Merchandise Sale Return
What happened
Tripped over the bottom bar stand and tumbled to the ground. Tried to catch myself Face right elbow and right knee hit floor first.
Injury or illness
Contusion - Upper Extremities - Elbow
Object or substance involved
Fixture Display
Summary line
Tripped over the bottom bar stand and tumbled to the ground. Tried to catch myself Face right elbow and right knee hit floor first.
Employee and industry
- Job description
- service associate
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 86
- Total hours worked
- 79433
- EIN
- 133357362
- Establishment ID
- 1111387
- Employer case #
- K-23-07783
When (timing detail)
- Date of incident
- Time of incident
- 0:00:00.000
- Filing year
- 2023
- Submitted
- 20FEB24:17:17:00
More injuries at 113 Darboy
View 113 Darboy's full OSHA safety record →
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 WI
CHIPPEWA FALLS, WI—
WM 5373
PLYMOUTH, WI—
WM 3497
HUDSON, WI—
8900 HUDSON HOSPITAL CLINICS
Brodhead, WI—
Kuhn North America
Brodhead, WI—
Kuhn North America
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.