Roseburg, OR —
OSHA Injury Report: 701-00281
Injury · Days away from work
At a glance
On , an injury at 701-00281 in Roseburg, OR 97471 resulted in days away from work. Employee was fuel Clerks in warehouse Clubs and Supercenters.
Where did this happen?
- Establishment
- 701-00281
- Parent company
- Fred Meyer Stores Inc
- Street
- 929 Nw Garden Valley Blvd
- City
- Roseburg
- State
- OR
- ZIP
- 97471
- On-site location
- FUEL CENTER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
- Days restricted or transferred
- 109
Before the incident
REACHING HOSE BACK AROUND TO PUMP
What happened
Truck came in on the wrong side and [REDACTED] was pulling the hose to fill the tank As he detached it it pulled him and he fell back on the ground Strain above his right leg
Injury or illness
Dislocated Right Knee Fall on same level SELF
Object or substance involved
SELF
Summary line
Dislocated Right Knee Fall on same level SELF
Employee and industry
- Job description
- Fuel Clerks
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Warehouse Clubs and Supercenters
- NAICS vintage
- 2022
- Avg employees
- 239
- Total hours worked
- 317397
- EIN
- 930798201
- Establishment ID
- 966846
- Employer case #
- 857139
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 14:50:00.000
- Submitted
- 28FEB24:18:48:00
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.