FORT WAYNE, IN —
OSHA Injury Report: WM 1419
Injury · Other recordable case
At a glance
On , an injury at WM 1419 in 5311 COLDWATER RD, FORT WAYNE, IN 46825 resulted in other recordable case. Employee was mEAT DEPARTMENT ASSOCIATE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 1419
- Parent company
- Wal-Mart Stores East, LP
- Street
- 5311 COLDWATER RD
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46825
- On-site location
- DEPT93-MEAT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Syncope (Faint Pass Out) (53)|Head-R|Fall Slip or Trip Injury|Associate
What happened
APPEARS ASSOCIATE PASSED OUT AND HIT HIS HEAD ON A TABLE AND THE FLOOR
Injury or illness
SYNCOPE(FAINT PASS OUT)
Object or substance involved
ASSOCIATE PARTNER
Summary line
APPEARS ASSOCIATE PASSED OUT AND HIT HIS HEAD ON A TABLE AND THE FLOOR
Employee and industry
- Job description
- MEAT DEPARTMENT ASSOCIATE
- SOC code
- 51-3021 — Butchers and Meat Cutters
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 329
- Total hours worked
- 514499
- EIN
- 710862119
- Establishment ID
- 1216151
- Employer case #
- C3659527
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 16:07:00.000
- Filing year
- 2023
- Submitted
- 11MAR24:21:46:00
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View WM 1419'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.