INDIANAPOLIS, IN —
OSHA Injury Report: WM 4053
Injury · Other recordable case
At a glance
On , an injury at WM 4053 in 5555 MICHIGAN RD, INDIANAPOLIS, IN 46228 resulted in other recordable case. Employee was aSST MANAGER in supermarkets and Other Grocery Retailers (except Convenience Retailers).
Where did this happen?
- Establishment
- WM 4053
- Parent company
- Wal-Mart Stores East, LP
- Street
- 5555 MICHIGAN RD
- City
- INDIANAPOLIS
- State
- IN
- ZIP
- 46228
- On-site location
- OFFICE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Dislocation (16)|Shoulder-L|Fall Slip or Trip Injury|Construction Material
What happened
I WAS CALLED BY THE CONSTRUCTION CREW AND INFORMED THAT MY OPERATIONAL MANAGER HAD TRIPPED ON SOME METAL AND WAS HURT.
Injury or illness
DISLOCATION
Object or substance involved
CONSTRUCTION
Summary line
I WAS CALLED BY THE CONSTRUCTION CREW AND INFORMED THAT MY OPERATIONAL MANAGER HAD TRIPPED ON SOME METAL AND WAS HURT.
Employee and industry
- Job description
- ASST MANAGER
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Retailers (except Convenience Retailers)
- NAICS vintage
- 2022
- Avg employees
- 115
- Total hours worked
- 174022
- EIN
- 710862119
- Establishment ID
- 1215905
- Employer case #
- C3583726
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 9:45:00.000
- Filing year
- 2023
- Submitted
- 11MAR24:21:17:00
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INDIANAPOLIS, IN—
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INDIANAPOLIS, IN—
WM 4053
View WM 4053's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.