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 dEPT MANAGER 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
- STOCK ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Inflammation 37 |Lower Arm-L|Strain or Injury By|Box-Case
What happened
CLAIMANT HAS RED ABRASION ON INNER FOREARM AND IS COMPLAINING OF CONSISTENT PAIN THAT SHARPENS WITH MOVEMENT. CLAIMANT CANNOT EXTEND ARM FULLY.
Injury or illness
INFLAMMATION SWELLING
Object or substance involved
BOX CASE
Summary line
CLAIMANT HAS RED ABRASION ON INNER FOREARM AND IS COMPLAINING OF CONSISTENT PAIN THAT SHARPENS WITH MOVEMENT. CLAIMANT CANNOT EXTEND ARM FULLY.
Employee and industry
- Job description
- DEPT MANAGER
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 272
- Total hours worked
- 377613
- EIN
- 710862119
- Establishment ID
- 1219177
- Employer case #
- C3688463
When (timing detail)
- Date of incident
- Shift started
- 11:00:00.000
- Time of incident
- 19:30:00.000
- 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.