GRANITE BAY, CA —
OSHA Injury Report: WM 5980
Injury · Other recordable case
At a glance
On , an injury at WM 5980 in 4080 DOUGLAS BLVD, GRANITE BAY, CA 95746 resulted in other recordable case. Employee was aSSOCIATE in supermarkets and Other Grocery Retailers (except Convenience Retailers).
Where did this happen?
- Establishment
- WM 5980
- Parent company
- Walmart Inc.
- Street
- 4080 DOUGLAS BLVD
- City
- GRANITE BAY
- State
- CA
- ZIP
- 95746
- On-site location
- VESTIBULE ENTRANCE
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Strain (52)|Lower Arm-R|Fall Slip or Trip Injury|Rug-Floor Mat
What happened
[REDACTED] FELL DUE TO TRIPPING ON CARPET AT GM ENTRANCE RIGHT ARM CAUGHT ON A SHOPPING CART AND RIGHT KNEE HIT THE GROUND
Injury or illness
STRAIN
Object or substance involved
RUGSMATSETC.
Summary line
[REDACTED] FELL DUE TO TRIPPING ON CARPET AT GM ENTRANCE RIGHT ARM CAUGHT ON A SHOPPING CART AND RIGHT KNEE HIT THE GROUND
Employee and industry
- Job description
- ASSOCIATE
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Retailers (except Convenience Retailers)
- NAICS vintage
- 2022
- Avg employees
- 87
- Total hours worked
- 134868
- EIN
- 710415188
- Establishment ID
- 1217520
- Employer case #
- C3572619
When (timing detail)
- Date of incident
- Shift started
- 13:30:00.000
- Time of incident
- 18:55:00.000
- Filing year
- 2023
- Submitted
- 11MAR24:21:40:00
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View WM 5980'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.