Coburg, OR —
OSHA Injury Report: Serenity Lane
Injury · Other recordable case
At a glance
On , an injury at Serenity Lane in Coburg, OR 97408 resulted in other recordable case. Employee was dishwasher in drug addiction rehabilitation facilities (except licensed hospitals), residential.
Where did this happen?
- Establishment
- Serenity Lane
- Parent company
- Serenity Lane
- Street
- 1 Serenity Lane
- City
- Coburg
- State
- OR
- ZIP
- 97408
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cleaning a grate in the dishwasher.
What happened
She ran her hand across the grate to remove loose food. There was a piece of broken ceramic plate lodged in the grate.
Injury or illness
She received a small cut on her right index and middle fingers.
Object or substance involved
Broken ceramic plate.
Summary line
small cut on rt. index and middle fingers
Employee and industry
- Job description
- Dishwasher
- SOC code
- 35-9021 — Dishwashers
- NAICS code
- 623220 — Drug addiction rehabilitation facilities (except licensed hospitals), residential
- NAICS vintage
- 2022
- Avg employees
- 209
- Total hours worked
- 307640
- EIN
- 930606316
- Establishment ID
- 806603
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 18:45:00.000
- Submitted
- 18JAN24:18:17:00
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.