FORT WAYNE, IN —
OSHA Injury Report: WM 5025
Injury · Other recordable case
At a glance
On , an injury at WM 5025 in FORT WAYNE, IN 46835 resulted in other recordable case. Employee was aSSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 5025
- Parent company
- Wal-Mart Stores East, LP
- Street
- 10420 MAYSVILLE RD
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46835
- On-site location
- DEPT94-PRODUCE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Concussion (7)|Head-B|Struck or Injured By|Pallet-Skids
What happened
ASSOCIATE CLAIMED HE WAS STRUCK BY A FALLING TOTE AFTER THE PALLY HE WAS PULLING HIT A NEARBY PALLET.
Injury or illness
CONCUSSION
Object or substance involved
PALLETSSKIDS
Summary line
ASSOCIATE CLAIMED HE WAS STRUCK BY A FALLING TOTE AFTER THE PALLY HE WAS PULLING HIT A NEARBY PALLET.
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 406
- Total hours worked
- 602830
- EIN
- 710862119
- Establishment ID
- 1219728
- Employer case #
- C3609534
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 11:10:00.000
- Submitted
- 11MAR24:21:27:00
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.