DE PERE, WI —
OSHA Injury Report: WM 5090
Injury · Other recordable case
At a glance
On , an injury at WM 5090 in DE PERE, WI 54115 resulted in other recordable case. Employee was uNLOADER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 5090
- Parent company
- Wal-Mart Stores East, LP
- Street
- 1415 LAWRENCE DR
- City
- DE PERE
- State
- WI
- ZIP
- 54115
- On-site location
- RECEIVING GM DOCK
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
No Physical Injury (1)|No Physical Injury-N|Struck or Injured By|Box-Case
What happened
ELIJAH THREW A SMALL HEAVY BOX AT ME IT HIT MY FACE KNOCKING OFF MY GLASSES. THIS BROKE THE NOSE PIECE AND BENT IT BACK AND ALSO SCRATCHED RIGHT LENS.
Injury or illness
NO PHYSICAL INJURY
Object or substance involved
BOX CASE
Summary line
ELIJAH THREW A SMALL HEAVY BOX AT ME IT HIT MY FACE KNOCKING OFF MY GLASSES. THIS BROKE THE NOSE PIECE AND BENT IT BACK AND ALSO SCRATCHED RIGHT LENS.
Employee and industry
- Job description
- UNLOADER
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 414
- Total hours worked
- 576214
- EIN
- 710862119
- Establishment ID
- 1219773
- Employer case #
- C3680674
When (timing detail)
- Date of incident
- Shift started
- 13:00:00.000
- Time of incident
- 14:00:00.000
- Submitted
- 11MAR24:21:28:00
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.