NICHOLASVILLE, KY —
OSHA Injury Report: WM 4728
Injury · Job transfer or restriction
At a glance
On , an injury at WM 4728 in NICHOLASVILLE, KY 40356 resulted in job transfer or restriction. Employee was cLUB CAFE PARTNER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 4728
- Parent company
- Sams East, Inc.
- Street
- 103 BRYANT DRIVE
- City
- NICHOLASVILLE
- State
- KY
- ZIP
- 40356
- On-site location
- Club Cafe
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 180
Before the incident
Pain Discomfort Nonspecific 59 |Upper Arm-L|Fall Slip or Trip Injury|Associate
What happened
TRIPPED OVER ANOTHER ASSOCIATES FOOT WORKING IN THE CAFE CAUSING HER TO FALL AND HIRT HER LEFT SHOULDER AND LEG SHE CANT LIFT HER ARM UP
Injury or illness
CUT LACERATION
Object or substance involved
EQUIPMENT MANUAL
Summary line
TRIPPED OVER ANOTHER ASSOCIATES FOOT WORKING IN THE CAFE CAUSING HER TO FALL AND HIRT HER LEFT SHOULDER AND LEG SHE CANT LIFT HER ARM UP
Employee and industry
- Job description
- CLUB CAFE PARTNER
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 169
- Total hours worked
- 296025
- EIN
- 710794412
- Establishment ID
- 1395396
- Employer case #
- C5673989
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 18:05
- Filing year
- 2025
- Submitted
- 06MAR26:19:16:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.