CHAMPAIGN, IL —
OSHA Injury Report: WM 8197
Injury · Days away from work
At a glance
On , an injury at WM 8197 in CHAMPAIGN, IL 61822 resulted in days away from work. Employee was cLUB CAFE PARTNER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 8197
- Parent company
- Sams West, Inc.
- Street
- 915 W MARKETVIEW DR
- City
- CHAMPAIGN
- State
- IL
- ZIP
- 61822
- On-site location
- Club Cafe
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 67
Before the incident
Dislocation (16)|Shoulder-R|Fall Slip or Trip Injury|Floor Surface
What happened
ASSOCIATE WAS WALKING AND SLIPPED AND LANDED ON RIGHT SHOULDER
Injury or illness
DISLOCATION
Object or substance involved
FLOOR SURFACE
Summary line
ASSOCIATE WAS WALKING AND SLIPPED AND LANDED ON RIGHT SHOULDER
Employee and industry
- Job description
- CLUB CAFE PARTNER
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 163
- Total hours worked
- 277728
- EIN
- 710794414
- Establishment ID
- 1219143
- Employer case #
- C3667765
When (timing detail)
- Date of incident
- Shift started
- 11:00:00.000
- Time of incident
- 12:25:00.000
- Submitted
- 11MAR24:21:52:00
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.