JANESVILLE, WI —
OSHA Injury Report: WM 4840
Injury · Job transfer or restriction
At a glance
On , an injury at WM 4840 in JANESVILLE, WI 53546 resulted in job transfer or restriction. Employee was eXPANDED FRESH PARTNER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 4840
- Parent company
- Sams East, Inc.
- Street
- 3900 DEERFIELD DR
- City
- JANESVILLE
- State
- WI
- ZIP
- 53546
- On-site location
- FRESH MEAT
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 77
Before the incident
Concussion (7)|Head-B|Fall Slip or Trip Injury|Pallet-Skids
What happened
WAS WORKING IN ROTISSERIE AND TRIPPED AND FELL
Injury or illness
STRAIN
Object or substance involved
FLOOR SURFACE
Summary line
WAS WORKING IN ROTISSERIE AND TRIPPED AND FELL
Employee and industry
- Job description
- EXPANDED FRESH PARTNER
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 134
- Total hours worked
- 224153
- EIN
- 710794412
- Establishment ID
- 1216484
- Employer case #
- C3578113
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 9:00:00.000
- Submitted
- 11MAR24:21:26:00
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.