Champaign, IL —
OSHA Injury Report: Clifford-Jacobs Forging Company
Injury · Days away from work
At a glance
On , an injury at Clifford-Jacobs Forging Company in Champaign, IL 61822 resulted in days away from work. Employee was hammer Driver in forgings made from purchased iron or steel, unfinished.
Where did this happen?
- Establishment
- Clifford-Jacobs Forging Company
- Parent company
- IMT
- Street
- 2410 North 5th Street
- City
- Champaign
- State
- IL
- ZIP
- 61822
- On-site location
- Forge Shop Hammer #12
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 14
- Days restricted or transferred
- 21
Before the incident
Bending over to pick up a knockout pin.
What happened
While bending over his knee gave out and when he caught himself he felt a pop in his elbow
Injury or illness
Left knee and Right elbow
Object or substance involved
Bending over to pick up pin
Summary line
Employee was bending over when his knee gave out and when he caught himself he felt a pop in his elbow.
Employee and industry
- Job description
- Hammer Driver
- SOC code
- 9999 — Uncoded
- NAICS code
- 332111 — Forgings made from purchased iron or steel, unfinished
- NAICS vintage
- 2022
- Avg employees
- 129
- Total hours worked
- 282849
- Establishment ID
- 274434
- Employer case #
- 14
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 7:45:00.000
- Submitted
- 31JAN24:18:15:00
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.