Queen Creek, AZ —
OSHA Injury Report: 1207 Queen Creek
Injury · Other recordable case
At a glance
On , an injury at 1207 Queen Creek in 21058 S Ellsworth Loop Rd, Queen Creek, AZ 85242 resulted in other recordable case. Employee was customer Service Area Supervisor in department Stores.
Where did this happen?
- Establishment
- 1207 Queen Creek
- Parent company
- Kohls Department Stores
- Street
- 21058 S Ellsworth Loop Rd
- City
- Queen Creek
- State
- AZ
- ZIP
- 85242
- On-site location
- Salesfloor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Equipment Operation
What happened
While pulling a grey cart to block the men 's registers during a routine closing the cart collided with a jutted out wall along the Nike wall. I was pulled back injuring my right shoulder.
Injury or illness
Strain or Tear - Multiple Body Parts - Insufficient Info to Identify - Unclassified
Object or substance involved
Rolling Equipment (Uboat Z-rail Cart)
Summary line
While pulling a grey cart to block the men 's registers during a routine closing the cart collided with a jutted out wall along the Nike wall. I was pulled back injuring my right shoulder.
Employee and industry
- Job description
- Customer Service Area Supervisor
- SOC code
- 43-1011 — First-Line Supervisors of Office and Administrative Support Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 70
- Total hours worked
- 75850
- EIN
- 133357362
- Establishment ID
- 1111717
- Employer case #
- K-23-07596
When (timing detail)
- Date of incident
- Time of incident
- 0:00:00.000
- Filing year
- 2023
- Submitted
- 20FEB24:17:17:00
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View 1207 Queen Creek'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.