LAKE GENEVA, WI —
OSHA Injury Report: WM 910
Injury · Other recordable case
At a glance
On , an injury at WM 910 in LAKE GENEVA, WI 53147 resulted in other recordable case. Employee was sALES ASSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 910
- Parent company
- Wal-Mart Stores East, LP
- Street
- 201 S EDWARDS BLVD
- City
- LAKE GENEVA
- State
- WI
- ZIP
- 53147
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Pain Discomfort Nonspecific|Hip (s)-L|Slip Fall-Same Level|Outside Surface
What happened
ASSOCIATE CLAIMS TO HAVE FALLEN IN PARKING LOT IN FRONT OF PHARMACY ON ICE AND HURT LEFT SHOULDER AND LEFT HIP
Injury or illness
PAIN NONSPECIFIC
Object or substance involved
OUTSIDE SURFACE
Summary line
ASSOCIATE CLAIMS TO HAVE FALLEN IN PARKING LOT IN FRONT OF PHARMACY ON ICE AND HURT LEFT SHOULDER AND LEFT HIP
Employee and industry
- Job description
- SALES ASSOCIATE
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 364
- Total hours worked
- 571638
- EIN
- 710862119
- Establishment ID
- 1215297
- Employer case #
- C3578910
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 4:50:00.000
- Submitted
- 11MAR24:21:33:00
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.