Roseburg, OR ·
OSHA Injury Report: 03567 Garden Valley
Injury · Other recordable case
At a glance
On , an injury at 03567 Garden Valley in 511 NE Garden Valley BLVd., Roseburg, OR 97470 resulted in other recordable case. Employee was maintenance Man in restaurants, fast food.
Where did this happen?
- Establishment
- 03567 Garden Valley
- Parent company
- 6 KSCampbell LLC
- Street
- 511 NE Garden Valley BLVd.
- City
- Roseburg
- State
- OR
- ZIP
- 97470
- On-site location
- On east side side walk
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Drilling a hole in the side walk
What happened
employee was using a core drill to drill a hole into side walk
Injury or illness
Contusion to head
Object or substance involved
Core drill
Summary line
contusion on head from operating a core drill
Employee and industry
- Job description
- Maintenance Man
- SOC code
- 37-2011: Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 722513: Restaurants, fast food
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 52
- Hours worked at this establishment (2025 total)
- 56,241
- EIN
- 830603893
- Establishment ID
- 1460723
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 05:00
- Time of incident
- 13:50
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-06
More injuries at 03567 Garden Valley
View 03567 Garden Valley's full OSHA safety record →
More injuries in this industry (NAICS 722513)
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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, so no per-record IMIS deep link exists.
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