Sublimity, OR —
OSHA Injury Report: Janmaur III LLC dba Independent Living
Injury · Job transfer or restriction
At a glance
On , an injury at Janmaur III LLC dba Independent Living in Sublimity, OR 97385 resulted in job transfer or restriction. Employee was server and prep cook in retirement homes without nursing care.
Where did this happen?
- Establishment
- Janmaur III LLC dba Independent Living
- Parent company
- MARIAN ESTATES
- Street
- 390 SE Church St
- City
- Sublimity
- State
- OR
- ZIP
- 97385
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 12
Before the incident
wiping down soda machine
What happened
over stretched when wiping down soda tubing.
Injury or illness
left shoulder..
Object or substance involved
none
Summary line
left shoulder.
Employee and industry
- Job description
- Server and prep cook
- SOC code
- 9999 — Uncoded
- NAICS code
- 623312 — Retirement homes without nursing care
- NAICS vintage
- 2022
- Avg employees
- 22
- Total hours worked
- 36983
- EIN
- 931262304
- Establishment ID
- 488684
- Employer case #
- 002-23S
When (timing detail)
- Date of incident
- Shift started
- 15:20:00.000
- Time of incident
- 18:00:00.000
- Submitted
- 01MAR24:00:06:00
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.