JANESVILLE, WI —
OSHA Injury Report: WM 4840
Injury · Other recordable case
At a glance
On , an injury at WM 4840 in JANESVILLE, WI 53546 resulted in other recordable case. Employee was mAINTENANCE GENERAL in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 4840
- Parent company
- Sams East, Inc.
- Street
- 3900 DEERFIELD DR
- City
- JANESVILLE
- State
- WI
- ZIP
- 53546
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Bruise Contusion 10 |Low Back Area-B|Fall Slip or Trip Injury|Curb-Steps-Sidewalk
What happened
I WAS WALKING OVER TO [REDACTED] WHEN I SLIPPED AND FELL ON THE SIDE WALK IN THE SAMS CLUB PARKING LOT
Injury or illness
BRUISE CONTUSION
Object or substance involved
PALLETS SKIDS
Summary line
I WAS WALKING OVER TO [REDACTED] WHEN I SLIPPED AND FELL ON THE SIDE WALK IN THE SAMS CLUB PARKING LOT
Employee and industry
- Job description
- MAINTENANCE GENERAL
- SOC code
- 37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 136
- Total hours worked
- 232646
- EIN
- 710794412
- Establishment ID
- 1395527
- Employer case #
- C5542382
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 21:00
- Filing year
- 2025
- Submitted
- 06MAR26:19:17:00
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.