Derby, CT —
OSHA Injury Report: Derby Shoprite
Injury · Other recordable case
At a glance
On , an injury at Derby Shoprite in Derby, CT 06418 resulted in other recordable case. Employee was deli Clerk in grocery stores.
Where did this happen?
- Establishment
- Derby Shoprite
- Street
- 49 Pershingg Drive
- City
- Derby
- State
- CT
- ZIP
- 06418
- On-site location
- Deli Department
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Slicing deli product.
What happened
Put her foot a rolling work cart to tie her shoe the table rolled away from her while she was tying her shoe causing her to fall.
Injury or illness
Shoulder strain
Object or substance involved
Rolling work cart
Summary line
injury right shoulder from falling.
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Grocery stores
- NAICS vintage
- 2022
- Avg employees
- 173
- Total hours worked
- 259232
- Establishment ID
- 265506
- Employer case #
- w2023-0364
When (timing detail)
- Date of incident
- Shift started
- 16:27:00.000
- Time of incident
- 19:33:00.000
- Submitted
- 11JAN24:19:41:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.