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 gROCERY 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
- GROCERY SALES FLOOR AISLE 21
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 37
Before the incident
PULLING PALLET JACK OF WATER CASES
What happened
EE WAS PULLING 40PK OF WATER WITH PALLET JACK AND [REDACTED] BUCKLED AND EE FELL TO FLOOR
Injury or illness
Strained Right Knee Pushing or pulling SELF AND PALLET JACK
Object or substance involved
SELF AND PALLET JACK
Summary line
EE WAS PULLING 40PK OF WATER WITH PALLET JACK AND [REDACTED] BUCKLED AND EE FELL TO FLOOR
Employee and industry
- Job description
- GROCERY CLERK
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 216
- Total hours worked
- 296818
- EIN
- 480196590
- Establishment ID
- 966441
- Employer case #
- 893026
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 19:49
- 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.