DE PERE, WI —
OSHA Injury Report: WM 5090
Injury · Other recordable case
At a glance
On , an injury at WM 5090 in DE PERE, WI 54115 resulted in other recordable case. Employee was aSSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 5090
- Parent company
- Wal-Mart Stores East, LP
- Street
- 1415 LAWRENCE DR
- City
- DE PERE
- State
- WI
- ZIP
- 54115
- On-site location
- DEPT98BAKERY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Muscle Soreness 59 |Low Back Area-B|Fall Slip or Trip Injury|Floor Surface
What happened
ASSOCIATE WAS PUTTING THE SQUEEGY AND [REDACTED] BROOM AWAY BEFORE HEADING FOR A 15 MINUTE BREAK AND FELL TO THE FLOOR INJURING HER BACK
Injury or illness
NO PHYSICAL INJURY
Object or substance involved
FOOD
Summary line
ASSOCIATE WAS PUTTING THE SQUEEGY AND [REDACTED] BROOM AWAY BEFORE HEADING FOR A 15 MINUTE BREAK AND FELL TO THE FLOOR INJURING HER BACK
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 430
- Total hours worked
- 596599
- EIN
- 710862119
- Establishment ID
- 1398210
- Employer case #
- C5627502
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 7:24
- 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.