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Safety Incidents OSHA Severe Injury Reports · 2015–2025

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
Avg employees
46
Total hours worked
66325
EIN
930506597
Establishment ID
999816
Employer case #
2

When (timing detail)

Date of incident
Shift started
22:00:00.000
Time of incident
3:00:00.000
Filing year
2023
Submitted
29MAR24:19:22:00

More injuries at #15 STAYTON ROTH'S

View #15 STAYTON ROTH'S's full OSHA safety record →

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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 — no per-record IMIS deep link exists.