JANESVILLE, WI —
OSHA Injury Report: WM 4840
Injury · Other recordable case
At a glance
On , an injury at WM 4840 in 3900 DEERFIELD DR, JANESVILLE, WI 53546 resulted in other recordable case. Employee was mEMBER SERVICE DESK PARTNER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 4840
- Parent company
- Sams East, Inc.
- Street
- 3900 DEERFIELD DR
- City
- JANESVILLE
- State
- WI
- ZIP
- 53546
- On-site location
- PARKING LOT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Concussion 7 |Head-N|Exposure Contact To|Door-Manual
What happened
CLAIMANT IS SAYING THEY INJURED THEIR HEAD AND BRIDGE OF NOSE
Injury or illness
BRUISE CONTUSION
Object or substance involved
MACHINERY
Summary line
CLAIMANT IS SAYING THEY INJURED THEIR HEAD AND BRIDGE OF NOSE
Employee and industry
- Job description
- MEMBER SERVICE DESK PARTNER
- SOC code
- 43-4051 — Customer Service Representatives
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 136
- Total hours worked
- 232646
- EIN
- 710794412
- Establishment ID
- 1395527
- Employer case #
- C5645608
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 15:30
- Filing year
- 2025
- Submitted
- 06MAR26:19:17:00
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WM 4840
View WM 4840'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.