DECATUR, IL —
OSHA Injury Report: WM 6334
Injury · Other recordable case
At a glance
On , an injury at WM 6334 in DECATUR, IL 62526 resulted in other recordable case. Employee was cLUB CAFE PARTNER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 6334
- Parent company
- Sams West, Inc.
- Street
- 4334 N PROSPECT ST
- City
- DECATUR
- State
- IL
- ZIP
- 62526
- On-site location
- Club Cafe
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Bruise Contusion (10)|Facial Bones-R|Struck or Injured By|Supplies
What happened
CAF PAN SLIPPED OFF THE SHELF AND HIT THE ASSOCIATE ON THE FACE THEN LANDED ON THE GROUND WHEN SURPRISED.
Injury or illness
BRUISE CONTUSION
Object or substance involved
SUPPLIES(BOOKPAPERETC.)
Summary line
CAF PAN SLIPPED OFF THE SHELF AND HIT THE ASSOCIATE ON THE FACE THEN LANDED ON THE GROUND WHEN SURPRISED.
Employee and industry
- Job description
- CLUB CAFE PARTNER
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 123
- Total hours worked
- 207609
- EIN
- 710794414
- Establishment ID
- 1218016
- Employer case #
- C3701339
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 19:58:00.000
- Submitted
- 11MAR24:21:44:00
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.