Derby, KS —
OSHA Injury Report: 615-00083
Injury · Other recordable case
At a glance
On , an injury at 615-00083 in Derby, KS 67037 resulted in other recordable case. Employee was dELI 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WALKING
What happened
EE slipped on water on the floor Pain in neck and lower back
Injury or illness
Strained Right Ankle Strained SELF
Object or substance involved
SELF
Summary line
Strained Right Ankle Strained SELF
Employee and industry
- Job description
- DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 225
- Total hours worked
- 310174
- EIN
- 480196590
- Establishment ID
- 966441
- Employer case #
- 883672
When (timing detail)
- Date of incident
- Shift started
- 9:00
- Time of incident
- 19:40
- 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.