SAN JOSE, CA —
OSHA Injury Report: WM 3023
Injury · Other recordable case
At a glance
On , an injury at WM 3023 in SAN JOSE, CA 95135 resulted in other recordable case. Employee was bAKERY ASSOCIATE in supermarkets and Other Grocery Retailers (except Convenience Retailers).
Where did this happen?
- Establishment
- WM 3023
- Parent company
- Walmart Inc.
- Street
- 4055 EVERGREEN VILLAGE SQ STE 140
- City
- SAN JOSE
- State
- CA
- ZIP
- 95135
- On-site location
- STOCK ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Muscle Soreness 59 |Buttocks-B|Fall Slip or Trip Injury|Water
What happened
SLIPPED ON WET FLOOR AFTER ASSOCIATE [REDACTED] WAS SCRUBBING THE FLOOR SHE WALKED INTO THE WET FLOORSLIPPED AND FELL ON BUTTOCKS
Injury or illness
MUSCLE SORENESS ACHE
Object or substance involved
WATER
Summary line
SLIPPED ON WET FLOOR AFTER ASSOCIATE [REDACTED] WAS SCRUBBING THE FLOOR SHE WALKED INTO THE WET FLOORSLIPPED AND FELL ON BUTTOCKS
Employee and industry
- Job description
- BAKERY ASSOCIATE
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Retailers (except Convenience Retailers)
- NAICS vintage
- 2022
- Avg employees
- 104
- Total hours worked
- 168786
- EIN
- 710415188
- Establishment ID
- 1215432
- Employer case #
- C3620320
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 6:30:00.000
- Submitted
- 13MAR24:21:38:00
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.