KENOSHA, WI —
OSHA Injury Report: WM 1167
Injury · Other recordable case
At a glance
On , an injury at WM 1167 in KENOSHA, WI 53144 resulted in other recordable case. Employee was aSSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 1167
- Parent company
- Wal-Mart Stores East, LP
- Street
- 3500 BRUMBACK BLVD
- City
- KENOSHA
- State
- WI
- ZIP
- 53144
- On-site location
- DEPT95-SNACK FOODS
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cut Laceration (40)|Head-N|Seizure|Floor Surface
What happened
CLAIMANT WAS IN THE MIDDLE OF A PICK PATH FOR OGP IN GROCERY [REDACTED] AND FELL HIT HIS HEAD AND SEIZED. CLAIMANT HAS CUTS ON HEAD OVER EYEBROW.
Injury or illness
CUT LACERATION
Object or substance involved
FLOOR SURFACE
Summary line
CLAIMANT WAS IN THE MIDDLE OF A PICK PATH FOR OGP IN GROCERY [REDACTED] AND FELL HIT HIS HEAD AND SEIZED. CLAIMANT HAS CUTS ON HEAD OVER EYEBROW.
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 404
- Total hours worked
- 611534
- EIN
- 710862119
- Establishment ID
- 1215713
- Employer case #
- C3573031
When (timing detail)
- Date of incident
- Shift started
- 15:00:00.000
- Time of incident
- 19:14:00.000
- Submitted
- 11MAR24:21:39:00
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.