Denver, CO —
OSHA Injury Report: Form Tight, Inc.
Injury · Other recordable case
At a glance
On , an injury at Form Tight, Inc. in Denver, CO 80239 resulted in other recordable case. Employee was maintenance technician in packaging, plastics (e.g., blister, bubble), manufacturing.
Where did this happen?
- Establishment
- Form Tight, Inc.
- Parent company
- Form Tight, Inc.
- Street
- 11600 E 51st Ave
- City
- Denver
- State
- CO
- ZIP
- 80239
- On-site location
- grinding room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
clearing the grinder with the handle for the sifter in place
What happened
making adjustments to grinder handle came down into chest
Injury or illness
contusion with possible rib interact
Object or substance involved
handle from the sifter tray
Summary line
contusion with possible rib interact; handle from the sifter tray falling out of lifted position
Employee and industry
- Job description
- maintenance technician
- SOC code
- 49-9041 — Industrial Machinery Mechanics
- NAICS code
- 326199 — Packaging, plastics (e.g., blister, bubble), manufacturing
- NAICS vintage
- 2022
- Avg employees
- 36
- Total hours worked
- 63672
- EIN
- 841236791
- Establishment ID
- 613938
- Employer case #
- 10200257
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 10:07:00.000
- Submitted
- 31JAN24:18:26:00
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.