CENTERVILLE, IA —
OSHA Injury Report: WM 1621
Injury · Days away from work
At a glance
On , an injury at WM 1621 in 23148 HWY 5, CENTERVILLE, IA 52544 resulted in days away from work. Employee was dEPT MANAGER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- WM 1621
- Parent company
- Walmart Inc.
- Street
- 23148 HWY 5
- City
- CENTERVILLE
- State
- IA
- ZIP
- 52544
- On-site location
- RECEIVING GM DOCK
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 30
Before the incident
Dislocation (16)|Shoulder-L|Material Handling|Repetitive Motion
What happened
ASSOCIAT WAS LIFTING A TREE STAND AND SHOLDER POPPED OUT OF SOCKET THEN WENT BACK IN BUT STILL HAD SOME PAIN.
Injury or illness
DISLOCATION
Object or substance involved
ASSOCIATE PARTNER
Summary line
ASSOCIAT WAS LIFTING A TREE STAND AND SHOLDER POPPED OUT OF SOCKET THEN WENT BACK IN BUT STILL HAD SOME PAIN.
Employee and industry
- Job description
- DEPT MANAGER
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 452910 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 165
- Total hours worked
- 278051
- EIN
- 710415188
- Establishment ID
- 1214915
- Employer case #
- C3685968
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 10:40:00.000
- Filing year
- 2023
- Submitted
- 11MAR24:21:51:00
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View WM 1621'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.