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 laborer 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
- DAS Executive Building
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Injured worker was stripping form work on a wall with burk bar
What happened
some debris fell into the worker 's right eye
Injury or illness
scratch to right eye
Object or substance involved
debris from wall
Summary line
Debris got in right eye
Employee and industry
- Job description
- Laborer Journeyman
- SOC code
- 47-2061 — Construction Laborers
- 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 #
- 14
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 11:30:00.000
- Submitted
- 31JAN24:22:15:00
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.