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 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
- CHINESE KITCHEN
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 15
- Days restricted or transferred
- 19
Before the incident
MOPPING THE FLOOR
What happened
EE WAS MOPPING AND SLIPPED ON THE FLOOR HE WAS MOPPING [REDACTED] CLAIMS TO HAVE PAIN ON HIS RIGHT SIDE
Injury or illness
Strained Posterior Abdomen Fall slippery floor
Object or substance involved
slippery floor
Summary line
EE WAS MOPPING AND SLIPPED ON THE FLOOR HE WAS MOPPING [REDACTED] CLAIMS TO HAVE PAIN ON HIS RIGHT SIDE
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
- 216
- Total hours worked
- 296818
- EIN
- 480196590
- Establishment ID
- 966441
- Employer case #
- 892140
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 20:15
- Filing year
- 2025
- Submitted
- 17FEB26:15:23:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.