DERBY, CT ·
OSHA Injury Report: 25320318 DERBY, CT
Injury · Days away from work
At a glance
On , an injury at 25320318 DERBY, CT in 20 DIVISION STREET, DERBY, CT 6418 resulted in days away from work. Employee was stock Clerk in warehouse Club and Supercenters.
Where did this happen?
- Establishment
- 25320318 DERBY, CT
- Parent company
- BJ's Wholesale Club, Inc. DERBY, CT
- Street
- 20 DIVISION STREET
- City
- DERBY
- State
- CT
- ZIP
- 6418
- On-site location
- SALES FLOOR - FOOD
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 22
Before the incident
EE WAS MOVING MEAT SNACKS
What happened
IW was putting together steel for shelves and a piece wouldn 't go in. A co-worker used a forklift to push the piece in and the beam slipped and hit him in the mouth. His front two teeth on the top and bottom are loose and one of the top ones is chipp
Injury or illness
Broken tooth Anterior Teeth Struck against cart Steel
Object or substance involved
Steel
Summary line
IW was putting together steel for shelves and a piece wouldn 't go in. A co-worker used a forklift to push the piece in and the beam slipped and hit him in the mouth. His front two teeth on the top and bottom are loose and one of the top ones is chipp
Employee and industry
- Job description
- Stock Clerk
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 455211: Warehouse Club and Supercenters
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 132
- Hours worked at this establishment (2024 total)
- 160,103
- EIN
- 43360747
- Establishment ID
- 1150122
- Employer case #
- 35018
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-19
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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