DERBY, VT —
OSHA Injury Report: WM 4156
Injury · Other recordable case
At a glance
On , an injury at WM 4156 in DERBY, VT 05829 resulted in other recordable case. Employee was aSSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 4156
- Parent company
- Wal-Mart Stores East, LP
- Street
- 115 SEYMOUR DRIVE
- City
- DERBY
- State
- VT
- ZIP
- 05829
- On-site location
- Vendor - Other
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Not Otherwise Classified|Lung(S)-B|AbsorptIngestionInhalation|Building Structure
What happened
ASSOCIATE COMPLAINS OF HEADACHE AND BREATHING DIFFICULTIES
Injury or illness
NOT OTHERWISE CLASSIFIED
Object or substance involved
BUILDING STRUCTURE
Summary line
ASSOCIATE COMPLAINS OF HEADACHE AND BREATHING DIFFICULTIES
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 240
- Total hours worked
- 376925
- EIN
- 710862119
- Establishment ID
- 1236373
- Employer case #
- C3574833
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 11:00:00.000
- 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.