INDEPENDENCE, OR —
OSHA Injury Report: Independence Grocery Outlet
Injury · Days away from work
At a glance
On , an injury at Independence Grocery Outlet in INDEPENDENCE, OR 97351 resulted in days away from work. Employee was clerk in grocery stores.
Where did this happen?
- Establishment
- Independence Grocery Outlet
- Parent company
- Rodar, LLC
- Street
- 1405 Monmouth Street
- City
- INDEPENDENCE
- State
- OR
- ZIP
- 97351
- On-site location
- Aisle 7
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 62
Before the incident
standing on the top platform step of a 3 step ladder with safety bar stepped off top and fell to the concrete floor below.
What happened
landed on legs and fell to his side.
Injury or illness
injured his leg and shoulder.
Object or substance involved
Concrete floor
Summary line
strain of shoulder and leg
Employee and industry
- Job description
- clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Grocery stores
- NAICS vintage
- 2022
- Avg employees
- 21
- Total hours worked
- 32918
- EIN
- 881887789
- Establishment ID
- 931141
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 6:20:00.000
- Submitted
- 04JAN24:17:45:00
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.