Salem, OR —
OSHA Injury Report: #12 WEST SALEM ROTH'S
Injury · Other recordable case
At a glance
On , an injury at #12 WEST SALEM ROTH'S in Salem, OR 97304 resulted in other recordable case. Employee was deli Clerk in supermarkets.
Where did this happen?
- Establishment
- #12 WEST SALEM ROTH'S
- Parent company
- Roth IGA Foodliner, Inc.
- Street
- 1130 Wallace Rd NW
- City
- Salem
- State
- OR
- ZIP
- 97304
- On-site location
- Deli Dept
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Assisting deli customers
What happened
slipped on deli fryer grease
Injury or illness
landed on tailbone
Object or substance involved
deli floor
Summary line
Employee slipped & fell on deli fryer grease
Employee and industry
- Job description
- Deli Clerk
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Supermarkets
- NAICS vintage
- 2022
- Avg employees
- 107
- Total hours worked
- 186254
- EIN
- 930506597
- Establishment ID
- 999799
- Employer case #
- 5
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 15:00:00.000
- Submitted
- 29MAR24:19:06:00
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.