ROSEVILLE, CA —
OSHA Injury Report: WM 6621
Injury · Other recordable case
At a glance
On , an injury at WM 6621 in ROSEVILLE, CA 95678 resulted in other recordable case. Employee was aSSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 6621
- Parent company
- Sams West, Inc.
- Street
- 904 PLEASANT GROVE BLVD
- City
- ROSEVILLE
- State
- CA
- ZIP
- 95678
- On-site location
- ENTRANCE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Difficulty Breathing (59)|No Physical Injury-N|Material Handling|Associate
What happened
STATED SHE WAS HAVING DIFFICULTY BREATHING AND REQUESTED [REDACTED] BE CALLED
Injury or illness
RESPIRATORY COMPLICATION
Object or substance involved
ASSOCIATE PARTNER
Summary line
STATED SHE WAS HAVING DIFFICULTY BREATHING AND REQUESTED [REDACTED] BE CALLED
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 205
- Total hours worked
- 328355
- EIN
- 710794414
- Establishment ID
- 1218410
- Employer case #
- C3711712
When (timing detail)
- Date of incident
- Shift started
- 9:47:00.000
- Time of incident
- 10:45:00.000
- 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.