Stayton, OR ·
OSHA Injury Report: #15 STAYTON ROTH'S
Injury · Other recordable case
At a glance
On , an injury at #15 STAYTON ROTH'S in 1770 Shaff Rd, Stayton, OR 97383 resulted in other recordable case. Employee was night crew in supermarkets.
Where did this happen?
- Establishment
- #15 STAYTON ROTH'S
- Parent company
- Roth IGA Foodliner, Inc.
- Street
- 1770 Shaff Rd
- City
- Stayton
- State
- OR
- ZIP
- 97383
- On-site location
- store lobby entrance
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
stocking grocery shelves
What happened
Employee operating an electric pallet jack and parked it. He turned and tripped over the forks of the pallet jack. Hit left side of face
Injury or illness
bruise contusion to left side of face
Object or substance involved
floor
Summary line
Employee operating an electric pallet jack and parked it. He turned and tripped over the forks of the pallet jack. Hit left side of face
Employee and industry
- Job description
- night crew
- SOC code
- 53-7065: Stockers and Order Fillers
- NAICS code
- 445110: Supermarkets
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 46
- Hours worked at this establishment (2023 total)
- 66,325
- EIN
- 930506597
- Establishment ID
- 999816
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 22:00
- Time of incident
- 03:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-29
More injuries at #15 Stayton Roth'S
View #15 Stayton Roth'S's full OSHA safety record →
More injuries in this industry (NAICS 445110)
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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