GODFREY, IL —
OSHA Injury Report: WM 4695
Injury · Other recordable case
At a glance
On , an injury at WM 4695 in GODFREY, IL 62035 resulted in other recordable case. Employee was aSST MANAGER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 4695
- Parent company
- Walmart Inc.
- Street
- 6660 GODFREY RD
- City
- GODFREY
- State
- IL
- ZIP
- 62035
- On-site location
- DEPT94-PRODUCE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Fracture (28)|Mouth-R|Fall Slip or Trip Injury|Pallet-Skids
What happened
DEEP SCRAPE ON RIGHT ARM BUSTED FRONT TEETH SPLIT LIP LOOSE TOOTH ACH IN KNEE
Injury or illness
NOT OTHERWISE CLASSIFIED
Object or substance involved
PALLETSSKIDS
Summary line
DEEP SCRAPE ON RIGHT ARM BUSTED FRONT TEETH SPLIT LIP LOOSE TOOTH ACH IN KNEE
Employee and industry
- Job description
- ASST MANAGER
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 325
- Total hours worked
- 532119
- EIN
- 710415188
- Establishment ID
- 1219719
- Employer case #
- C3715291
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 6:55:00.000
- Submitted
- 11MAR24:21:24:00
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.