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 mEAT DEPARTMENT 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
- DEPT93-MEAT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Syncope (Faint Pass Out) (53)|Head-R|Fall Slip or Trip Injury|Associate
What happened
APPEARS ASSOCIATE PASSED OUT AND HIT HIS HEAD ON A TABLE AND THE FLOOR
Injury or illness
SYNCOPE(FAINT PASS OUT)
Object or substance involved
ASSOCIATE PARTNER
Summary line
APPEARS ASSOCIATE PASSED OUT AND HIT HIS HEAD ON A TABLE AND THE FLOOR
Employee and industry
- Job description
- MEAT DEPARTMENT ASSOCIATE
- SOC code
- 51-3021 — Butchers and Meat Cutters
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 329
- Total hours worked
- 514499
- EIN
- 710862119
- Establishment ID
- 1216151
- Employer case #
- C3659527
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 16:07:00.000
- 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.