MORAINE, OH —
OSHA Injury Report: WM 5104
Injury · Other recordable case
At a glance
On , an injury at WM 5104 in 1701 W DOROTHY LN, MORAINE, OH 45439 resulted in other recordable case. Employee was aSSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 5104
- Parent company
- Wal-Mart Stores East, LP
- Street
- 1701 W DOROTHY LN
- City
- MORAINE
- State
- OH
- ZIP
- 45439
- On-site location
- COOLER FREEZER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Bruise Contusion (10)|Low Back Area-B|Fall Slip or Trip Injury|Floor Surface
What happened
ASSOCIATE STATED SHE WAS PULLING A PALLET [REDACTED] AND SLIPPED ON ICE IN THE FREEZER AND FELL. SHE IS COMPLAING OF PAIN IN HER BACK AN BOTTOM
Injury or illness
BRUISE CONTUSION
Object or substance involved
FLOOR SURFACE
Summary line
ASSOCIATE STATED SHE WAS PULLING A PALLET [REDACTED] AND SLIPPED ON ICE IN THE FREEZER AND FELL. SHE IS COMPLAING OF PAIN IN HER BACK AN BOTTOM
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 302
- Total hours worked
- 507628
- EIN
- 710862119
- Establishment ID
- 1219783
- Employer case #
- C3656779
When (timing detail)
- Date of incident
- Shift started
- 3:00:00.000
- Time of incident
- 4:30:00.000
- Filing year
- 2023
- Submitted
- 11MAR24:21:28:00
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View WM 5104'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.