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 mAINTENANCE DAY 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
- DEPT90-DAIRY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cut Laceration 40 |Head-L|Fall Slip or Trip Injury|Floor Surface
What happened
ASSOCIATE TRIPPED ON DRAIN COVER AND FELL TO THE GROUND CAUSING A SMALL CUT ABOVE L EYE. FIRST AID WAS ADMINISTERED AT STORE AND CUT CONTINUED BLEED
Injury or illness
CUT LACERATION
Object or substance involved
FLOOR SURFACE
Summary line
ASSOCIATE TRIPPED ON DRAIN COVER AND FELL TO THE GROUND CAUSING A SMALL CUT ABOVE L EYE. FIRST AID WAS ADMINISTERED AT STORE AND CUT CONTINUED BLEED
Employee and industry
- Job description
- MAINTENANCE DAY
- SOC code
- 37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 272
- Total hours worked
- 377613
- EIN
- 710862119
- Establishment ID
- 1219177
- Employer case #
- C3648386
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 13:45:00.000
- 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.