Derby, KS —
OSHA Injury Report: 615-00083
Injury · Other recordable case
At a glance
On , an injury at 615-00083 in 1624 N Rock Rd, Derby, KS 67037 resulted in other recordable case. Employee was dELI 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
- DELI DEPT AT MURRAYS CHEESE SHOP KIOSK
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
WORKING ON PRODUCTION
What happened
EE WAS INSIDE MURRAYS CHEESE SHOP WITH A CO WORKER WAS BEHIND CO WORKER THE CO WORKER IN FRONT OF HIM STEPPED BACK TO THE LEFT ON HIS LEFT FOOT
Injury or illness
Bruised Left Foot Struck by individual COWORKERS FOOT BODY WEIGHT
Object or substance involved
COWORKERS FOOT BODY WEIGHT
Summary line
EE WAS INSIDE MURRAYS CHEESE SHOP WITH A CO WORKER WAS BEHIND CO WORKER THE CO WORKER IN FRONT OF
Employee and industry
- Job description
- DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2012
- Avg employees
- 216
- Total hours worked
- 296818
- EIN
- 480196590
- Establishment ID
- 966441
- Employer case #
- 894011
When (timing detail)
- Date of incident
- Shift started
- 8:58
- Time of incident
- 13:00
- Filing year
- 2025
- Submitted
- 17FEB26:15:23:00
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615-00083
View 615-00083's full OSHA safety record →
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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.