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 dEPT MANAGER 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 GM DOCK
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 28
Before the incident
Bruise Contusion 10 |Low Back Area-L|Struck or Injured By|Conveyers
What happened
ASSOCIATE WAS LOADING GM TRUCK BOX STARTED TO FALL AND HE MOVED OUT OF THE WAY AND RAN INTO THE LINE FOR UNLOADING.
Injury or illness
BRUISE CONTUSION
Object or substance involved
CONVEYERS
Summary line
ASSOCIATE WAS LOADING GM TRUCK BOX STARTED TO FALL AND HE MOVED OUT OF THE WAY AND RAN INTO THE LINE FOR UNLOADING.
Employee and industry
- Job description
- DEPT MANAGER
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 348
- Total hours worked
- 538416
- EIN
- 710862119
- Establishment ID
- 1216774
- Employer case #
- C3652395
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 15:00:00.000
- 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.