BOTTINEAU, ND —
OSHA Injury Report: WM 4569
Injury · Other recordable case
At a glance
On , an injury at WM 4569 in 912 11TH ST E, BOTTINEAU, ND 58318 resulted in other recordable case. Employee was mAINTENANCEDAY in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 4569
- Parent company
- Walmart Inc.
- Street
- 912 11TH ST E
- City
- BOTTINEAU
- State
- ND
- ZIP
- 58318
- On-site location
- VESTIBULE EXIT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Dislocation 16 |Shoulder-R|Strain or Injury By|Doors-Automatic
What happened
WAS CLEANING THE DOORS WHEN HE WAS PUSHING THE DOORS OUT OF PLACE TO CLEAN THEM HE POPPED HIS RIGHT SHOULDER
Injury or illness
ALL OTHER OCCUPATIONAL
Object or substance involved
DEBRIS TRASH
Summary line
WAS CLEANING THE DOORS WHEN HE WAS PUSHING THE DOORS OUT OF PLACE TO CLEAN THEM HE POPPED HIS RIGHT SHOULDER
Employee and industry
- Job description
- MAINTENANCEDAY
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 163
- Total hours worked
- 260899
- EIN
- 710415188
- Establishment ID
- 1395301
- Employer case #
- C5692494
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 18:20
- Filing year
- 2025
- Submitted
- 06MAR26:19:16:00
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View WM 4569'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.