EUREKA, CA —
OSHA Injury Report: WM 5629
Injury · Job transfer or restriction
At a glance
On , an injury at WM 5629 in 3300 BROADWAY BAYSHORE MALL, EUREKA, CA 95501 resulted in job transfer or restriction. Employee was dAIRY ASSOCIATE in discount Department Stores.
Where did this happen?
- Establishment
- WM 5629
- Parent company
- Walmart Inc.
- Street
- 3300 BROADWAY BAYSHORE MALL
- City
- EUREKA
- State
- CA
- ZIP
- 95501
- On-site location
- DEPT90-DAIRY
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 5
Before the incident
Bruise Contusion|Back-Disc Vertebra-L|FallSlipTrip-On Ice Or Snow|Floor Surface
What happened
CLAIMANT HAS CONTUSION ON BACK.
Injury or illness
BRUISE CONTUSION
Object or substance involved
FLOOR SURFACE
Summary line
CLAIMANT HAS CONTUSION ON BACK.
Employee and industry
- Job description
- DAIRY ASSOCIATE
- SOC code
- 9999 — Uncoded
- NAICS code
- 452112 — Discount Department Stores
- NAICS vintage
- 2012
- Avg employees
- 152
- Total hours worked
- 252982
- EIN
- 710415188
- Establishment ID
- 1216967
- Employer case #
- C3548249
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 13:45:00.000
- Filing year
- 2023
- Submitted
- 11MAR24:21:36:00
More injuries at WM 5629
View WM 5629'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.