RIVERDALE, UT —
OSHA Injury Report: WM 6684
Injury · Other recordable case
At a glance
On , an injury at WM 6684 in RIVERDALE, UT 84405 resulted in other recordable case. Employee was cLUB CAFE PARTNER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 6684
- Parent company
- Sams West, Inc.
- Street
- 4949 S 900 W
- City
- RIVERDALE
- State
- UT
- ZIP
- 84405
- On-site location
- Club Cafe
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Burn Scald|Arm-Lower-L|Blister|Equipment-Manual
What happened
BURN ON LEFT FOREARM WITH DISCOLORATION OF THE SKIN
Injury or illness
BURN SCALD
Object or substance involved
EQUIPMENT (MANUAL)
Summary line
BURN ON LEFT FOREARM WITH DISCOLORATION OF THE SKIN
Employee and industry
- Job description
- CLUB CAFE PARTNER
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 175
- Total hours worked
- 290103
- EIN
- 710794414
- Establishment ID
- 1218492
- Employer case #
- C3557295
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 18:40:00.000
- Submitted
- 11MAR24:21:47:00
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.