Lake Oswego, OR —
OSHA Injury Report: Pence/Kelly Construction LLC
Injury · Other recordable case
At a glance
On , an injury at Pence/Kelly Construction LLC in Lake Oswego, OR 97035 resulted in other recordable case. Employee was carpenter Journeyman in footing and foundation concrete contractors.
Where did this happen?
- Establishment
- Pence/Kelly Construction LLC
- Parent company
- Pence/Kelly Construction LLC
- Street
- 5400 Meadows Rd. Suite 450
- City
- Lake Oswego
- State
- OR
- ZIP
- 97035
- On-site location
- ADI
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was pulling blankets to protect area before a pour
What happened
Employee slipped on the ice and lost his balance
Injury or illness
He fell on his side hurting his shoulder and leg
Object or substance involved
Icy ground
Summary line
Muscle Strain in shoulder and lower leg
Employee and industry
- Job description
- Carpenter Journeyman
- SOC code
- 47-2031 — Carpenters
- NAICS code
- 238110 — Footing and foundation concrete contractors
- NAICS vintage
- 2022
- Avg employees
- 115
- Total hours worked
- 209085
- EIN
- 931306097
- Establishment ID
- 821388
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 6:30:00.000
- Time of incident
- 8:00:00.000
- Submitted
- 31JAN24:21:41:00
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.