DERBY, VT —
OSHA Injury Report: WM 4156
Injury · Days away from work
At a glance
On , an injury at WM 4156 in DERBY, VT 05829 resulted in days away from work. 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
- STOCK ROOM
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 65
- Days restricted or transferred
- 4
Before the incident
Pain Discomfort Nonspecific (59)|Shoulder-L|Struck or Injured By|Box-Case
What happened
WAS WORKING IN THE APPAREL BINS WHEN A BOX FROM A PALLET FELL ON HER SHOULDER
Injury or illness
MUSCLE SORENESS ACHE
Object or substance involved
BOX CASE
Summary line
WAS WORKING IN THE APPAREL BINS WHEN A BOX FROM A PALLET FELL ON HER SHOULDER
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 #
- C3694012
When (timing detail)
- Date of incident
- Shift started
- 3:00:00.000
- Time of incident
- 10:30:00.000
- Submitted
- 11MAR24:21:18:00
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.