JEFFERSON, WI —
OSHA Injury Report: WM 3499
Injury · Other recordable case
At a glance
On , an injury at WM 3499 in JEFFERSON, WI 53549 resulted in other recordable case. Employee was bAKERY ASSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 3499
- Parent company
- Wal-Mart Stores East, LP
- Street
- 1520 S MAIN ST
- City
- JEFFERSON
- State
- WI
- ZIP
- 53549
- On-site location
- DEPT98-BAKERY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Bruise Contusion 10 |Teeth-R|Fall Slip or Trip Injury|Associate
What happened
ASSOCIATE HIT HER RIGHT SIDE OF FACE ON GROUND RESULTING MULTIPLE TEETH GETTING KNOCKED OUT AND CONTUSION ON RIGHT CHEEK JAW AREA
Injury or illness
BRUISE CONTUSION
Object or substance involved
ASSOCIATE PARTNER
Summary line
ASSOCIATE HIT HER RIGHT SIDE OF FACE ON GROUND RESULTING MULTIPLE TEETH GETTING KNOCKED OUT AND CONTUSION ON RIGHT CHEEK JAW AREA
Employee and industry
- Job description
- BAKERY ASSOCIATE
- SOC code
- 51-3011 — Bakers
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 272
- Total hours worked
- 377613
- EIN
- 710862119
- Establishment ID
- 1219177
- Employer case #
- C3588315
When (timing detail)
- Date of incident
- Shift started
- 3:53:00.000
- Time of incident
- 12:15:00.000
- Submitted
- 13MAR24:21:46:00
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.