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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: #21 HAYESVILLE ROTH'S

Injury · Days away from work

On , an injury at #21 HAYESVILLE ROTH'S in 4746 Portland Rd NE, Salem, OR 97305 resulted in days away from work. Employee was assistant Store Manager in supermarkets.

Parent company
Roth IGA Foodliner, Inc.
Street
4746 Portland Rd NE
City
Salem
State
OR
ZIP
97305
On-site location
store lobby entrance
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
4

Managing the front end of the store

Employee was attempting to stop a shoplifter and the shoplifter threw a bottle of wine at his head causing a laceration to his head

laceration to his head

wine bottle

Employee was attempting to stop a shoplifter and the shoplifter threw a bottle of wine at his head causing a laceration to his head

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
Date of incident
Shift started
7:00:00.000
Time of incident
15:00:00.000
Filing year
2023
Submitted
29MAR24:19:46:00

View #21 HAYESVILLE ROTH'S's full OSHA safety record →

WM 4464

WM 3385

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.