LA CROSSE, WI —
OSHA Injury Report: WM 5127
Injury · Other recordable case
At a glance
On , an injury at WM 5127 in 4622 MORMON COULEE RD, LA CROSSE, WI 54601 resulted in other recordable case. Employee was aSSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 5127
- Parent company
- Wal-Mart Stores East, LP
- Street
- 4622 MORMON COULEE RD
- City
- LA CROSSE
- State
- WI
- ZIP
- 54601
- On-site location
- DEPT92-DRY GROCERY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Syncope (Faint Pass Out) (53)|Buttocks-R|Fall Slip or Trip Injury|Box-Case
What happened
I WAS PICKING UP A BOX OF CAKE MIX AND HAD GOTTEN LIGHTHEADED LOST VISION FOLLOWED BY FALLING BACKWARDS ONTO MY BOTTOM
Injury or illness
SYNCOPE(FAINT PASS OUT)
Object or substance involved
BOX CASE
Summary line
I WAS PICKING UP A BOX OF CAKE MIX AND HAD GOTTEN LIGHTHEADED LOST VISION FOLLOWED BY FALLING BACKWARDS ONTO MY BOTTOM
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 9999 — Uncoded
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 364
- Total hours worked
- 460744
- EIN
- 710862119
- Establishment ID
- 1219794
- Employer case #
- C3652563
When (timing detail)
- Date of incident
- Shift started
- 22:00:00.000
- Time of incident
- 2:25:00.000
- Filing year
- 2023
- Submitted
- 11MAR24:21:29:00
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View WM 5127'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.