FORT WAYNE, IN —
OSHA Injury Report: WM 1419
Injury · Other recordable case
At a glance
On , an injury at WM 1419 in FORT WAYNE, IN 46825 resulted in other recordable case. Employee was aSSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 1419
- Parent company
- Wal-Mart Stores East, LP
- Street
- 5311 COLDWATER RD
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46825
- 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)|Knee-R|Fall Slip or Trip Injury|Equipment-Manual
What happened
ASSOCIATE TRIPPED OVER A PALLET JACKER DURING THE POWER OUTAGE. SHE FELL DOWN AND NOW HAS PAIN IN HER RIGHT KNEE RIGHT GROIN AREA RIGHT SHOULDER.
Injury or illness
BRUISE CONTUSION
Object or substance involved
EQUIPMENT (MANUAL)
Summary line
ASSOCIATE TRIPPED OVER A PALLET JACKER DURING THE POWER OUTAGE. SHE FELL DOWN AND NOW HAS PAIN IN HER RIGHT KNEE RIGHT GROIN AREA RIGHT SHOULDER.
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 329
- Total hours worked
- 514499
- EIN
- 710862119
- Establishment ID
- 1216151
- Employer case #
- C3581740
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 10:10:00.000
- Submitted
- 11MAR24:21:46:00
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.