DERBY, CT ·
OSHA Injury Report: 25320318 DERBY, CT
Injury · Other recordable case
At a glance
On , an injury at 25320318 DERBY, CT in 20 DIVISION STREET, DERBY, CT 6418 resulted in other recordable case. Employee was gas Station Tea 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
- GAS STATION
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
INSPECTING AND CLEARING THE FUEL FILL TUBES
What happened
The IW was at the gas station. He was bending down when a member struck him with her car
Injury or illness
Strained Low back Struck by motor vehicle Motor vehicle
Object or substance involved
Motor vehicle
Summary line
The IW was at the gas station. He was bending down when a member struck him with her car
Employee and industry
- Job description
- Gas Station Tea
- SOC code
- 9999: Uncoded
- 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 #
- 36978
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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