BLOOMINGTON, MN —
OSHA Injury Report: WM 4787
Injury · Job transfer or restriction
At a glance
On , an injury at WM 4787 in 200 WEST AMERICAN BLVD, BLOOMINGTON, MN 55420 resulted in job transfer or restriction. Employee was mERCHANDISE DELIVERY PARTNER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 4787
- Parent company
- Sams West, Inc.
- Street
- 200 WEST AMERICAN BLVD
- City
- BLOOMINGTON
- State
- MN
- ZIP
- 55420
- On-site location
- Grocery
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 3
Before the incident
All [REDACTED] Occupational Disease (71)|Foot-L|Striking Against or Stepping on|Equipment-Power
What happened
ASSOCIATE WAS HIT BY A PALLET WHILE IT WAS RAISED. ITHE PALLET WAS STRUCK BY A FORKLIFT.
Injury or illness
ALL OTHER OCCUPATIONAL
Object or substance involved
EQUIPMENT(POWER)
Summary line
ASSOCIATE WAS HIT BY A PALLET WHILE IT WAS RAISED. ITHE PALLET WAS STRUCK BY A FORKLIFT.
Employee and industry
- Job description
- MERCHANDISE DELIVERY PARTNER
- SOC code
- 13-1022 — Wholesale and Retail Buyers, Except Farm Products
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 178
- Total hours worked
- 302895
- EIN
- 710794414
- Establishment ID
- 1216415
- Employer case #
- C3620510
When (timing detail)
- Date of incident
- Shift started
- 15:00:00.000
- Time of incident
- 22:30:00.000
- Filing year
- 2023
- Submitted
- 11MAR24:21:25:00
More injuries at WM 4787
View WM 4787'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.