FORT WAYNE, IN —
OSHA Injury Report: WM 1804
Injury · Days away from work
At a glance
On , an injury at WM 1804 in FORT WAYNE, IN 46804 resulted in days away from work. Employee was aSSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 1804
- Parent company
- Wal-Mart Stores East, LP
- Street
- 1710 APPLE GLEN BLVD
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46804
- On-site location
- RECEIVING GROCERY DOCK
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
Syncope Faint Pass Out 53 |Head-R|Fall Slip or Trip Injury|Equipment-Manual
What happened
ASSOCIATE FAINTED HIT LOWER RIGHT SIDE OF HEAD
Injury or illness
SYNCOPE FAINT PASS OUT
Object or substance involved
BLUE CART
Summary line
ASSOCIATE FAINTED HIT LOWER RIGHT SIDE OF HEAD
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 348
- Total hours worked
- 538416
- EIN
- 710862119
- Establishment ID
- 1216774
- Employer case #
- C3640579
When (timing detail)
- Date of incident
- Shift started
- 15:40:00.000
- Time of incident
- 17:30:00.000
- Submitted
- 11MAR24:21:14:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.