MADISON, GA —
OSHA Injury Report: WM 1363
Injury · Other recordable case
At a glance
On , an injury at WM 1363 in MADISON, GA 30650 resulted in other recordable case. Employee was dEPT MANAGER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 1363
- Parent company
- Wal-Mart Stores East, LP
- Street
- 1681 EATONTON RD
- City
- MADISON
- State
- GA
- ZIP
- 30650
- On-site location
- COMMON AREA
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
[REDACTED] Contusion (10)|Head-B|Body Reaction|Building Structure
What happened
THE ASSOCIATE WAS IN THE BREAKROOM AND FELL AND HIT HEAD ON THE FLOOR DUE TO MEDICAL REASONS
Injury or illness
BRUISE CONTUSION
Object or substance involved
BUILDING STRUCTURE
Summary line
THE ASSOCIATE WAS IN THE BREAKROOM AND FELL AND HIT HEAD ON THE FLOOR DUE TO MEDICAL REASONS
Employee and industry
- Job description
- DEPT MANAGER
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 275
- Total hours worked
- 457395
- EIN
- 710862119
- Establishment ID
- 1216057
- Employer case #
- C3595837
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 9:15:00.000
- 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.