COOKEVILLE, TN —
OSHA Injury Report: WM 4930
Injury · Job transfer or restriction
At a glance
On , an injury at WM 4930 in COOKEVILLE, TN 38506 resulted in job transfer or restriction. Employee was fORKLIFT DRIVER 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
- HEALTH & BEAUTY AIDS S
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 4
Before the incident
Bruise Contusion (10)|Nose-B|Exposure Contact To|Fixtures
What happened
__[REDACTED]ACTED__ JUMPED WHILE ZONING AND HIT THE BACK OF HIS HEAD ON A [REDACTED] BAR AND THEN ON THE WAY DOWN HE HIT HIS NOSE ON ANOTHER [REDACTED] BAR.
Injury or illness
BRUISE CONTUSION
Object or substance involved
FIXTURES(TABLESCOUNTERETC)
Summary line
__[REDACTED]ACTED__ JUMPED WHILE ZONING AND HIT THE BACK OF HIS HEAD ON A [REDACTED] BAR AND THEN ON THE WAY DOWN HE HIT HIS NOSE ON ANOTHER [REDACTED] BAR.
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 168
- Total hours worked
- 283410
- EIN
- 710794412
- Establishment ID
- 1216568
- Employer case #
- C3655974
When (timing detail)
- Date of incident
- Shift started
- 14:59:00.000
- Time of incident
- 18:03:00.000
- 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.