Roseburg, OR —
OSHA Injury Report: 03567 Garden Valley
Injury · Other recordable case
At a glance
On , an injury at 03567 Garden Valley in 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
- Avg employees
- 52
- Total hours worked
- 56241
- EIN
- 830603893
- Establishment ID
- 1460723
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 13:50
- Filing year
- 2025
- Submitted
- 06FEB26:00:12:00
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.