Derby, CT ·
OSHA Injury Report: Derby Shoprite
Injury · Other recordable case
At a glance
On , an injury at Derby Shoprite in 49 Pershingg Drive, 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
- Employees at this establishment (2023 average)
- 173
- Hours worked at this establishment (2023 total)
- 259,232
- Establishment ID
- 265506
- Employer case #
- w2023-0364
When (timing detail)
- Date of incident
- Shift started
- 16:27
- Time of incident
- 19:33
- Filing year
- 2023
- Submitted to OSHA
- 2024-01-11
More injuries at Derby Shoprite
View Derby Shoprite's full OSHA safety record →
More injuries in this industry (NAICS 445110)
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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