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
- North color a cell 1 gen pad
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was walking across the top mat vibrating concrete
What happened
His right foot caught on the vibrator whip causing him to lose his footing twist and fall on his right side.
Injury or illness
right side lower back sciatica
Object or substance involved
vibrator whip
Summary line
pain on right side of lower back
Employee and industry
- Job description
- Laborer Journeyman
- SOC code
- 47-2061 — Construction Laborers
- 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 #
- 3
When (timing detail)
- Date of incident
- Shift started
- 5:30
- Time of incident
- 7:40
- Filing year
- 2025
- Submitted
- 30JAN26:21:23:00
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.