Salem, OR —
OSHA Injury Report: #21 HAYESVILLE ROTH'S
Injury · Days away from work
At a glance
On , an injury at #21 HAYESVILLE ROTH'S in Salem, OR 97305 resulted in days away from work. Employee was assistant Store Manager in supermarkets.
Where did this happen?
- Establishment
- #21 HAYESVILLE ROTH'S
- Parent company
- Roth IGA Foodliner, Inc.
- Street
- 4746 Portland Rd NE
- City
- Salem
- State
- OR
- ZIP
- 97305
- On-site location
- store lobby entrance
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
Before the incident
Managing the front end of the store
What happened
Employee was attempting to stop a shoplifter and the shoplifter threw a bottle of wine at his head causing a laceration to his head
Injury or illness
laceration to his head
Object or substance involved
wine bottle
Summary line
Employee was attempting to stop a shoplifter and the shoplifter threw a bottle of wine at his head causing a laceration to his head
Employee and industry
- Job description
- Assistant Store Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets
- NAICS vintage
- 2022
- Avg employees
- 44
- Total hours worked
- 65685
- EIN
- 930506597
- Establishment ID
- 999850
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 15:00:00.000
- Submitted
- 29MAR24:19:46:00
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.