Derby, KS —
OSHA Injury Report: 615-00083
Injury · Days away from work
At a glance
On , an injury at 615-00083 in Derby, KS 67037 resulted in days away from work. Employee was ecommerce clerk 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
- PARKING LOT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 46
- Days restricted or transferred
- 20
Before the incident
LOADING GROCERIES
What happened
EE WAS COMING DOWN FROM A LADDER WHEN SHE MISSED A STEP AND FELL TO GROUND STRAIN TO LOWER BACK AND R HIP
Injury or illness
Concussion Anterior Face Struck by motor vehicle customers trunk lid
Object or substance involved
customers trunk lid
Summary line
Concussion Anterior Face Struck by motor vehicle customers trunk lid
Employee and industry
- Job description
- Ecommerce clerk
- 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 #
- 870689
When (timing detail)
- Date of incident
- Shift started
- 12:30
- Time of incident
- 14:45
- 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.