BENTONVILLE, AR —
OSHA Injury Report: WM 4969
Injury · Days away from work
At a glance
On , an injury at WM 4969 in 3500 SE CLUB BLVD, BENTONVILLE, AR 72712 resulted in days away from work. Employee was aSSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 4969
- Parent company
- Sams West, Inc.
- Street
- 3500 SE CLUB BLVD
- City
- BENTONVILLE
- State
- AR
- ZIP
- 72712
- On-site location
- FRESH BAKERY
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 30
- Days restricted or transferred
- 150
Before the incident
Tear of Muscle 52 |Head-L|Fall Slip or Trip Injury|Floor-Other
What happened
ASSOCIATE SLIPPED AND HIT HER LEFT SIDE OF THE FACE ON THE CORNER OF THE TABLE AND FELL THROUGH THE FLOOR
Injury or illness
CUT LACERATION
Object or substance involved
BOX CASE
Summary line
ASSOCIATE SLIPPED AND HIT HER LEFT SIDE OF THE FACE ON THE CORNER OF THE TABLE AND FELL THROUGH THE FLOOR
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 277
- Total hours worked
- 472883
- EIN
- 710794414
- Establishment ID
- 1398163
- Employer case #
- C5580016
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 8:50
- Filing year
- 2025
- Submitted
- 06MAR26:19:17:00
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View WM 4969'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.