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 Stayton, OR 97383 resulted in other recordable case. Employee was bakery sales clerk 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
- bakery dept
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
stocking bakery department [REDACTED]
What happened
Employee stumbled on her own foot when walking
Injury or illness
cut on forehead
Object or substance involved
bakery table
Summary line
Employee stumbled on her own foot when walking
Employee and industry
- Job description
- bakery sales clerk
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 445110 — Supermarkets
- NAICS vintage
- 2022
- Avg employees
- 46
- Total hours worked
- 66325
- EIN
- 930506597
- Establishment ID
- 999816
- Employer case #
- 4
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 13:00:00.000
- Submitted
- 29MAR24:19:35:00
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.