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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Roseville, CA —

OSHA Injury Report: 680 Roseville West

Injury · Other recordable case

At a glance

On , an injury at 680 Roseville West in 10375 Fairway Dr, Roseville, CA 95678 resulted in other recordable case. Employee was area Supervisor in department Stores.

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Where did this happen?

Establishment
680 Roseville West
Parent company
Kohls Department Stores
Street
10375 Fairway Dr
City
Roseville
State
CA
ZIP
95678
On-site location
StockroomDock

What was the outcome?

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

Before the incident

Office Work

What happened

I was walking downstairs from second floor holding luggage in each hand and i missed 1 or 2 steps

Injury or illness

Sprain or Tear - Lower Extremities - Ankle

Object or substance involved

Flooring - Carpet Tile Transition

Summary line

I was walking downstairs from second floor holding luggage in each hand and i missed 1 or 2 steps

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
107
Total hours worked
112951
EIN
133357362
Establishment ID
1111864
Employer case #
K-23-07727

When (timing detail)

Date of incident
Time of incident
0:00:00.000
Filing year
2023
Submitted
20FEB24:17:19:00

More injuries at 680 Roseville West

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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.