Las Vegas, NV —
OSHA Injury Report: 4495 Hacienda
Injury · Job transfer or restriction
At a glance
On , an injury at 4495 Hacienda in Las Vegas, NV 89118 resulted in job transfer or restriction. Employee was formsetter in concrete finishing.
Where did this happen?
- Establishment
- 4495 Hacienda
- Parent company
- Silver Lake Construction Company
- Street
- 4495 W Hacienda Ave, Suite 9
- City
- Las Vegas
- State
- NV
- ZIP
- 89118
- On-site location
- Tribute Bay - Jobsite
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 22
Before the incident
Setting forms
What happened
[REDACTED] was setting forms. When he tried to get out of the footing he fell and landed on his left arm.
Injury or illness
Sprain
Object or substance involved
Board forms
Summary line
Employee was setting forms he fell and landed on his arm.
Employee and industry
- Job description
- Formsetter
- SOC code
- 9999 — Uncoded
- NAICS code
- 238110 — Concrete finishing
- NAICS vintage
- 2022
- Avg employees
- 276
- Total hours worked
- 533758
- EIN
- 472938066
- Establishment ID
- 456536
- Employer case #
- 8
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 11:00:00.000
- Submitted
- 31JAN24:21:04:00
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.