PORT ORANGE, FL —
OSHA Injury Report: WM 3629
Injury · Other recordable case
At a glance
On , an injury at WM 3629 in PORT ORANGE, FL 32129 resulted in other recordable case. Employee was cART PUSHER in supermarkets and Other Grocery Retailers (except Convenience Retailers).
Where did this happen?
- Establishment
- WM 3629
- Parent company
- Wal-Mart Stores East, LP
- Street
- 3811 CLYDE MORRIS BLVD
- City
- PORT ORANGE
- State
- FL
- ZIP
- 32129
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Bruise Contusion 10 |Elbow-L|Struck or Injured By|Customer-Member
What happened
ASSOCIATES ELBOW WAS VISIBLY WOUNDED AND BLEEDING. ASSOCIATE CLAIMS HE HIT HIS HEAD.
Injury or illness
CUT LACERATION
Object or substance involved
CUSTOMER MEMBER
Summary line
ASSOCIATES ELBOW WAS VISIBLY WOUNDED AND BLEEDING. ASSOCIATE CLAIMS HE HIT HIS HEAD.
Employee and industry
- Job description
- CART PUSHER
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery Retailers (except Convenience Retailers)
- NAICS vintage
- 2022
- Avg employees
- 128
- Total hours worked
- 205691
- EIN
- 710862119
- Establishment ID
- 1215766
- Employer case #
- C3659968
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 11:33:00.000
- Submitted
- 13MAR24:21:48:00
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.