Omaha, NE —
OSHA Injury Report: 615-00315
Injury · Other recordable case
At a glance
On , an injury at 615-00315 in Omaha, NE 68164 resulted in other recordable case. Employee was coffee Shop Cle in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 615-00315
- Parent company
- Dillon Stores
- Street
- 13250 W Maple Rd
- City
- Omaha
- State
- NE
- ZIP
- 68164
- On-site location
- COFFEE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
REACHING FOR A SYRUP WHEN MAKING AN ORDER
What happened
EE FELT A PULL IN THE MIDDLE OF HIS BACK WHEN HE REACHED FOR THE SYRUP WHILST COMPLETING A CM DRINK ORDER
Injury or illness
Strained Posterior Low back Reaching SELF
Object or substance involved
SELF
Summary line
Strained Posterior Low back Reaching SELF
Employee and industry
- Job description
- Coffee Shop Cle
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 162
- Total hours worked
- 181107
- EIN
- 480196590
- Establishment ID
- 966465
- Employer case #
- 848557
When (timing detail)
- Date of incident
- Shift started
- 6:30:00.000
- Time of incident
- 7:45:00.000
- 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.