JACKSON, CA —
OSHA Injury Report: WM 2054
Injury · Other recordable case
At a glance
On , an injury at WM 2054 in JACKSON, CA 95642 resulted in other recordable case. Employee was dEPT MANAGER in discount Department Stores.
Where did this happen?
- Establishment
- WM 2054
- Parent company
- Walmart Inc.
- Street
- 10355 WICKLOW WAY
- City
- JACKSON
- State
- CA
- ZIP
- 95642
- On-site location
- CUSTOMER SERVICE DESK
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
No Physical Injury 1 |No Physical Injury-N|Other Than Physical Cause of Injury|Customer-Member
What happened
[REDACTED] WAS TALKING WITH A ASSOCIATE AT THE SERVICE DESK WHEN HE TURNED AROUND TO LEAVE HE PASSED OUT ON THE FLOOR.
Injury or illness
NO PHYSICAL INJURY
Object or substance involved
CUSTOMER MEMBER
Summary line
[REDACTED] WAS TALKING WITH A ASSOCIATE AT THE SERVICE DESK WHEN HE TURNED AROUND TO LEAVE HE PASSED OUT ON THE FLOOR.
Employee and industry
- Job description
- DEPT MANAGER
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452112 — Discount Department Stores
- NAICS vintage
- 2012
- Avg employees
- 175
- Total hours worked
- 284027
- EIN
- 710415188
- Establishment ID
- 1215050
- Employer case #
- C3694992
When (timing detail)
- Date of incident
- Shift started
- 0:00:00.000
- Time of incident
- 21:45:00.000
- Submitted
- 11MAR24:21:20:00
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.