JANESVILLE, WI —
OSHA Injury Report: WM 4840
Injury · Other recordable case
At a glance
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.
Where did this happen?
- Establishment
- WM 4840
- Parent company
- Sams East, Inc.
- Street
- 3900 DEERFIELD DR
- City
- JANESVILLE
- State
- WI
- ZIP
- 53546
- On-site location
- CENTER SECTION
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Strain (52)|Shoulder-L|Material Handling|Steel-Bins
What happened
EXTREME LEFT SIDED SHOULDER PAIN WITH LIMITED RANGE OF MOTION.
Injury or illness
STRAIN
Object or substance involved
STEEL BINS
Summary line
EXTREME LEFT SIDED SHOULDER PAIN WITH LIMITED RANGE OF MOTION.
Employee and industry
- 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
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 10:30:00.000
- Filing year
- 2023
- Submitted
- 14MAR24:21:38:00
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View WM 4840'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.