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 Helper 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
- north east side of network suite in DCB1
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was stripping forms which required him to pull plywood off the pour using both hands pulling back in straight forward motion.
What happened
when employee pulled on the form he felt a sharp pain on the lower left side of his back.
Injury or illness
pain in lower left side of pback
Object or substance involved
heavy form
Summary line
pain strain of lower back
Employee and industry
- Job description
- Carpenter Helper
- SOC code
- 47-3012 — Helpers--Carpenters
- NAICS code
- 238110 — Footing and foundation concrete contractors
- NAICS vintage
- 2012
- Avg employees
- 180
- Total hours worked
- 375453
- EIN
- 931306097
- Establishment ID
- 821388
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 9:30
- Filing year
- 2025
- Submitted
- 30JAN26:21:17:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.