Derby, KS —
OSHA Injury Report: 615-00057
Injury · Other recordable case
At a glance
On , an injury at 615-00057 in Derby, KS 67037 resulted in other recordable case. Employee was produce Dept M in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 615-00057
- Parent company
- Dillon Stores
- Street
- 200 W Greenway St
- City
- Derby
- State
- KS
- ZIP
- 67037
- On-site location
- PRODUCE COOLER
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
BREAKING DOWN PRODUCE LOAD
What happened
EE was breaking down a truck and moving cases and [REDACTED] EE noticed that his lower back was swollen stiff and sore EE went home for lunch and complained of nerve pain and could barely walk EE does plan to seek medical treatment No other phy
Injury or illness
Strained Posterior Low back Reaching CASES OF PRODUCE
Object or substance involved
CASES OF PRODUCE
Summary line
Strained Posterior Low back Reaching CASES OF PRODUCE
Employee and industry
- Job description
- Produce Dept M
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 42
- Total hours worked
- 46007
- EIN
- 480196590
- Establishment ID
- 966427
- Employer case #
- 863918
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 15:00:00.000
- Submitted
- 28FEB24:21:05:00
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.