COOKEVILLE, TN —
OSHA Injury Report: WM 4930
Injury · Other recordable case
At a glance
On , an injury at WM 4930 in COOKEVILLE, TN 38506 resulted in other recordable case. Employee was cLUB CAFE PARTNER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 4930
- Parent company
- Sams East, Inc.
- Street
- 1177 SAMS ST
- City
- COOKEVILLE
- State
- TN
- ZIP
- 38506
- On-site location
- FRESH MEAT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Dislocation|Knee(S)-L|Slip Fall-Same Level|Cafe Sample Food
What happened
SLIPPED AND FELL
Injury or illness
DISLOCATION
Object or substance involved
BUILDING STRUCTURE
Summary line
SLIPPED AND FELL
Employee and industry
- Job description
- CLUB CAFE PARTNER
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 168
- Total hours worked
- 283410
- EIN
- 710794412
- Establishment ID
- 1216568
- Employer case #
- C3560644
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 10:40:00.000
- 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.