CONVERSE, TX —
OSHA Injury Report: WM 4056
Injury · Other recordable case
At a glance
On , an injury at WM 4056 in CONVERSE, TX 78109 resulted in other recordable case. Employee was aSSOCIATE in supermarkets and Other Grocery Retailers (except Convenience Retailers).
Where did this happen?
- Establishment
- WM 4056
- Parent company
- Wal-Mart Stores Texas, LLC
- Street
- 10781 TOEPPERWEIN RD
- City
- CONVERSE
- State
- TX
- ZIP
- 78109
- On-site location
- DEPT80-DELI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Muscle Soreness (59)|Buttocks-L|Fall Slip or Trip Injury|Liquids
What happened
WHEN WALKING TO THE SINK AREA I FELL. WHEN I FELL MY LEFT KNEE ELBOW AND BUTTOCK HIT THE CONCRETE FLOOR. MY LEFT KNEE AND BUTTOCK IS ACHING.
Injury or illness
MUSCLE SORENESS ACHE
Object or substance involved
BUILDING STRUCTURE
Summary line
WHEN WALKING TO THE SINK AREA I FELL. WHEN I FELL MY LEFT KNEE ELBOW AND BUTTOCK HIT THE CONCRETE FLOOR. MY LEFT KNEE AND BUTTOCK IS ACHING.
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Retailers (except Convenience Retailers)
- NAICS vintage
- 2022
- Avg employees
- 102
- Total hours worked
- 169969
- EIN
- 743019386
- Establishment ID
- 1215909
- Employer case #
- C3589360
When (timing detail)
- Date of incident
- Shift started
- 18:40:00.000
- Time of incident
- 18:40:00.000
- Submitted
- 11MAR24:21:17:00
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.