VACAVILLE, CA —
OSHA Injury Report: WM 6433
Injury · Other recordable case
At a glance
On , an injury at WM 6433 in VACAVILLE, CA 95687 resulted in other recordable case. Employee was cLUB CAFE PARTNER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 6433
- Parent company
- Sams West, Inc.
- Street
- 1500 HELEN POWER DR
- City
- VACAVILLE
- State
- CA
- ZIP
- 95687
- On-site location
- Club Cafe
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Strain 52 |Lower Leg-R|Fall Slip or Trip Injury|Water
What happened
CLAIMANT SLIPPED ON WATER AND LANDED ON HIS RIGHT KNEE HE IS COMPLAIN OF PAIN ON HIS ANKLE WHEN HE WALKS AND PAIN ON HIS KNEE WHEN HE TOUCHES IT
Injury or illness
FRACTURE BREAK
Object or substance involved
VEHICLE-COMPANY OWNED
Summary line
CLAIMANT SLIPPED ON WATER AND LANDED ON HIS RIGHT KNEE HE IS COMPLAIN OF PAIN ON HIS ANKLE WHEN HE WALKS AND PAIN ON HIS KNEE WHEN HE TOUCHES IT
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
- 167
- Total hours worked
- 275469
- EIN
- 710794414
- Establishment ID
- 1396476
- Employer case #
- C5671523
When (timing detail)
- Date of incident
- Shift started
- 2:00
- Time of incident
- 10:20
- Filing year
- 2025
- Submitted
- 06MAR26:19:20:00
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.