Portland, OR —
OSHA Injury Report: 1106 - NSM Arbor Lodge
Injury · Other recordable case
At a glance
On , an injury at 1106 - NSM Arbor Lodge in Portland, OR 97217 resulted in other recordable case. Employee was grocery Assistant Manager in grocery stores.
Where did this happen?
- Establishment
- 1106 - NSM Arbor Lodge
- Parent company
- New Seasons Market, LLC
- Street
- 6400 N Interstate Ave
- City
- Portland
- State
- OR
- ZIP
- 97217
- On-site location
- second floor grocery backstock area
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
moving blue backstock carts
What happened
Staff member was about to move one of the blue backstock carts. The handle was in the up position unknowingly to staff member and as she reached for something on the cart the handle dropped and hit her in the mouth. This hit resulted in staff member 's tooth being chipped.
Injury or illness
#9 tooth enamel fracture
Object or substance involved
handle of cart
Summary line
Front left tooth (#9) chip as a result of the grocery cart handle falling from the up to the down position while the staff members face was in the way.
Employee and industry
- Job description
- Grocery Assistant Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Grocery stores
- NAICS vintage
- 2022
- Avg employees
- 134
- Total hours worked
- 213901
- EIN
- 271519644
- Establishment ID
- 236710
- Employer case #
- 14
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 16:55:00.000
- Submitted
- 02MAR24:18:47:00
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.