Fayetteville, GA —
OSHA Injury Report: 438 FayettevilleGA
Injury · Other recordable case
At a glance
On , an injury at 438 FayettevilleGA in 300 Pavillion Pkwy, Fayetteville, GA 30214 resulted in other recordable case. Employee was service Supervisor in department Stores.
Where did this happen?
- Establishment
- 438 FayettevilleGA
- Parent company
- Kohls Department Stores
- Street
- 300 Pavillion Pkwy
- City
- Fayetteville
- State
- GA
- ZIP
- 30214
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Truck Unload Load
What happened
The associate was driving a pallet inside a trailer door number 2 when the door of the trailer started to close on him which resulted on the door hitting him in the center of head and shoulders before he could made it inside the trailer.
Injury or illness
Concussion - Head - Multiple Head Injury
Object or substance involved
Door
Summary line
The associate was driving a pallet inside a trailer door number 2 when the door of the trailer started to close on him which resulted on the door hitting him in the center of head and shoulders before he could made it inside the trailer.
Employee and industry
- Job description
- Service Supervisor
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 65
- Total hours worked
- 60639
- EIN
- 133357362
- Establishment ID
- 1111052
- Employer case #
- K-23-07789
When (timing detail)
- Date of incident
- Time of incident
- 0:00:00.000
- Filing year
- 2023
- Submitted
- 20FEB24:17:18:00
More injuries at 438 FayettevilleGA
Fayetteville, GA—
438 FayettevilleGA
View 438 FayettevilleGA'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 GA
ACWORTH, GA—
WM 3748
EASTANOLLEE, GA—
WM 1122
Calhoun, GA—
Apache Mills A1
Jackson, GA—
Jackson Distribution Center
Jackson, GA—
Jackson Distribution Center
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.