CHANTILLY, VA —
OSHA Injury Report: WM 5969
Injury · Other recordable case
At a glance
On , an injury at WM 5969 in CHANTILLY, VA 20151 resulted in other recordable case. Employee was aSSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 5969
- Parent company
- Wal-Mart Stores East, LP
- Street
- 4368 CHANTILLY SHOPPING CENTER DR
- City
- CHANTILLY
- State
- VA
- ZIP
- 20151
- On-site location
- STOCK ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Bruise Contusion (10)|Hip-L|Fall Slip or Trip Injury|Debris-Trash
What happened
ASSOCIATE SLIPPED ON A PIECE OF PAPER ON THE FLOOR AND FELL
Injury or illness
BRUISE CONTUSION
Object or substance involved
DEBRIS TRASH
Summary line
ASSOCIATE SLIPPED ON A PIECE OF PAPER ON THE FLOOR AND FELL
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 247
- Total hours worked
- 421928
- EIN
- 710862119
- Establishment ID
- 1217511
- Employer case #
- C3683764
When (timing detail)
- Date of incident
- Shift started
- 3:00:00.000
- Time of incident
- 9:35:00.000
- Submitted
- 11MAR24:21:40:00
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.