Safety Incidents OSHA Severe Injury Reports · 2015–2025
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OSHA Injury Report: WM 4840

Injury · Other recordable case

On , an injury at WM 4840 in 3900 DEERFIELD DR, JANESVILLE, WI 53546 resulted in other recordable case. Employee was cHECKOUT SUPERVISOR CALLER in warehouse Clubs and Supercenters.

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Establishment
WM 4840
Parent company
Sams East, Inc.
Street
3900 DEERFIELD DR
City
JANESVILLE
State
WI
ZIP
53546
On-site location
CENTER SECTION
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Strain (52)|Shoulder-L|Material Handling|Steel-Bins

EXTREME LEFT SIDED SHOULDER PAIN WITH LIMITED RANGE OF MOTION.

STRAIN

STEEL BINS

EXTREME LEFT SIDED SHOULDER PAIN WITH LIMITED RANGE OF MOTION.

Job description
CHECKOUT SUPERVISOR CALLER
SOC code
43-1011 — First-Line Supervisors of Office and Administrative Support Workers
NAICS code
452910 — Warehouse Clubs and Supercenters
NAICS vintage
2012
Avg employees
134
Total hours worked
224153
EIN
710794412
Establishment ID
1216484
Employer case #
C3690263
Date of incident
Shift started
7:00:00.000
Time of incident
10:30:00.000
Filing year
2023
Submitted
14MAR24:21:38:00

WM 4840

WM 4840

WM 4840

WM 4840

WM 4840

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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.