Portland, OR —
OSHA Injury Report: 1106 - NSM Arbor Lodge
Injury · Days away from work
At a glance
On , an injury at 1106 - NSM Arbor Lodge in 6400 N Interstate Ave, Portland, OR 97217 resulted in days away from work. Employee was meat Clerk 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
- behind meat counter by left cutting table
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 7
- Days restricted or transferred
- 95
Before the incident
washing rubber mats and moving them from floor to table
What happened
while lifting rubber mats employee felt pain in left shoulder
Injury or illness
left shoulder rotator cuff strain left periscapular muscle strain
Object or substance involved
rubber mats
Summary line
Staff was lifting rubber mats onto a table after cleaning them and felt a pain in his left shoulder resulting in left rotator cuff strain left periscapular muscle strain
Employee and industry
- Job description
- Meat Clerk
- SOC code
- 35-2021 — Food Preparation Workers
- NAICS code
- 445110 — Grocery stores
- NAICS vintage
- 2012
- Avg employees
- 139
- Total hours worked
- 222153
- EIN
- 271519644
- Establishment ID
- 236710
- Employer case #
- 6
When (timing detail)
- Date of incident
- Shift started
- 11:55
- Time of incident
- 18:00
- Filing year
- 2024
- Submitted
- 24MAR2025:01:52:00
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1106 - NSM Arbor Lodge
Portland, OR—
1106 - NSM Arbor Lodge
View 1106 - NSM Arbor Lodge's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.