Andover, KS —
OSHA Injury Report: 615-00085
Injury · Job transfer or restriction
At a glance
On , an injury at 615-00085 in 225 E Cloud Ave, Andover, KS 67002 resulted in job transfer or restriction. Employee was sTORE NIGHT CLE in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- 615-00085
- Parent company
- Dillon Stores
- Street
- 225 E Cloud Ave
- City
- Andover
- State
- KS
- ZIP
- 67002
- On-site location
- GROCERY DEPT- REPETITIVE TRAUMA
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 9
Before the incident
STOCKING SHELVES
What happened
EE WAS STOCKING SHELF AND HURT HIS RIGHT SHOULDER
Injury or illness
Sprained Right Shoulders Lifting SELF
Object or substance involved
SELF
Summary line
Sprained Right Shoulder Lifting SELF
Employee and industry
- Job description
- STORE NIGHT CLE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2022
- Avg employees
- 224
- Total hours worked
- 298433
- EIN
- 480196590
- Establishment ID
- 966443
- Employer case #
- 865800
When (timing detail)
- Date of incident
- Shift started
- 22:30:00.000
- Time of incident
- 7:00:00.000
- Filing year
- 2023
- Submitted
- 28FEB24:21:05:00
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615-00085
View 615-00085's full OSHA safety record →
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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 — no per-record IMIS deep link exists.