SURPRISE, AZ —
OSHA Injury Report: WM 4955
Injury · Other recordable case
At a glance
On , an injury at WM 4955 in 16573 W BELL RD, SURPRISE, AZ 85374 resulted in other recordable case. Employee was tIRE MOUNTING AND ADJ PARTNER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 4955
- Parent company
- Sams West, Inc.
- Street
- 16573 W BELL RD
- City
- SURPRISE
- State
- AZ
- ZIP
- 85374
- On-site location
- TBC (Tire Battery Center)
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Strain (52)|Shoulder-L|Material Handling|Tire
What happened
CLAIMANT ALLEDGLY LIFTED TIRE TO MOUNT ON CAR AND ALLEDGLY FELT TEAR IN LEFT SHOULDER.
Injury or illness
STRAIN
Object or substance involved
Tire
Summary line
CLAIMANT ALLEDGLY LIFTED TIRE TO MOUNT ON CAR AND ALLEDGLY FELT TEAR IN LEFT SHOULDER.
Employee and industry
- Job description
- TIRE MOUNTING AND ADJ PARTNER
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 176
- Total hours worked
- 303683
- EIN
- 710794414
- Establishment ID
- 1216595
- Employer case #
- C3691226
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 12:30:00.000
- Filing year
- 2023
- Submitted
- 11MAR24:21:26:00
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WM 4955
SURPRISE, AZ—
WM 4955
View WM 4955'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.