SAN JOSE, CA —
OSHA Injury Report: WM 3023
Injury · Other recordable case
At a glance
On , an injury at WM 3023 in 4055 EVERGREEN VILLAGE SQ STE 140, SAN JOSE, CA 95135 resulted in other recordable case. Employee was sTORE REMODELTEMP in supermarkets and Other Grocery (except Convenience) Stores.
Where did this happen?
- Establishment
- WM 3023
- Parent company
- Walmart Inc.
- Street
- 4055 EVERGREEN VILLAGE SQ STE 140
- City
- SAN JOSE
- State
- CA
- ZIP
- 95135
- On-site location
- DEPT04HOUSEHOLD PAPER GOODS
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Dislocation 16 |Knee-R|Fall Slip or Trip Injury|Steel-Bins
What happened
CLAIMANT HAS NO SCRAPE NO CUT OR ANY BRUISES BUT IS COMPLAINING THAT IT FEELS WERID AND WANTS TO GET CHECKED OUT
Injury or illness
STRAIN
Object or substance involved
SHOPPING CART
Summary line
CLAIMANT HAS NO SCRAPE NO CUT OR ANY BRUISES BUT IS COMPLAINING THAT IT FEELS WERID AND WANTS TO GET CHECKED OUT
Employee and industry
- Job description
- STORE REMODELTEMP
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarkets and Other Grocery (except Convenience) Stores
- NAICS vintage
- 2022
- Avg employees
- 109
- Total hours worked
- 178264
- EIN
- 710415188
- Establishment ID
- 1394677
- Employer case #
- C5613897
When (timing detail)
- Date of incident
- Shift started
- 23:00
- Time of incident
- 22:00
- Filing year
- 2025
- Submitted
- 06MAR26:19:02:00
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WM 3023
View WM 3023's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.