Derby, KS —
OSHA Injury Report: 615-00083
Injury · Job transfer or restriction
At a glance
On , an injury at 615-00083 in Derby, KS 67037 resulted in job transfer or restriction. Employee was dELI ASST LEADER in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- 615-00083
- Parent company
- Dillon Stores
- Street
- 1624 N Rock Rd
- City
- Derby
- State
- KS
- ZIP
- 67037
- On-site location
- DELI COOLER
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 38
Before the incident
ON STEP LADDER GETTING BOX ON TOP SHELF
What happened
EE WAS STOCKING WHEN NOTICED PAIN TO LOWER BACK PAIN GOT WORSE DURING SHIFT EE WOKE UP [REDACTED] STILL IN PAIN
Injury or illness
Sprained Right Shoulder Fall from ladder scaffold BOX OF PRODUCT
Object or substance involved
BOX OF PRODUCT
Summary line
Sprained Right Shoulder Fall from ladder scaffold BOX OF PRODUCT
Employee and industry
- Job description
- DELI ASST LEADER
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 225
- Total hours worked
- 310174
- EIN
- 480196590
- Establishment ID
- 966441
- Employer case #
- 866616
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 13:00
- Filing year
- 2024
- Submitted
- 25FEB2025:20:53:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.