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
- Anthology Beaverton
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
employee was trying to hit the pin to release the shoring pole
What happened
while employee was trying to release the pin a plywood sheet approximately 11ft above the ground came down
Injury or illness
Hit the injured party on the front and center of his hard hat. Lacerations on his forehead.
Object or substance involved
2 ft 8in X 4ft sheet of MDO plywood
Summary line
Laceration on forehead from plywood
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 #
- 2
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 9:45:00.000
- Submitted
- 31JAN24:21:44:00
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.