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
- CUSTOMER SERVICE DESK
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Pain Discomfort Nonspecific 59 |Chest-L|Body Reaction|Associate
What happened
ASSOCIATE WAS SUFFERING FROM SEVERE PAIN IN LEFT SIDE OF ABDOMEN
Injury or illness
PAIN NONSPECIFIC
Object or substance involved
ASSOCIATE PARTNER
Summary line
ASSOCIATE WAS SUFFERING FROM SEVERE PAIN IN LEFT SIDE OF ABDOMEN
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 #
- C3685272
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 10:00:00.000
- 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.