FORT WAYNE, IN —
OSHA Injury Report: 128-TIRE-STORE 128
Injury · Other recordable case
At a glance
On , an injury at 128-TIRE-STORE 128 in FORT WAYNE, IN 46818 resulted in other recordable case. Employee was tire Tech L in rETAIL AUTOMOTIVE, TIRES, ACCESSORIES, AND SEVICES.
Where did this happen?
- Establishment
- 128-TIRE-STORE 128
- Parent company
- BELLE TIRE DISTRIBUTORS
- Street
- 6040 LIMA RD
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46818
- On-site location
- SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
mounting a tire onto a rim
What happened
while mounting a tire onto a rim she asked for assistance and the duck head on the mounting broke and struck EE on the R eyebrow from approx 5 feet away-reports an open wound
Injury or illness
contusion; open wound
Object or substance involved
struck by or against
Summary line
while mounting a tire onto a rim she asked for assistance and the duck head on the mounting broke and struck EE on the R eyebrow from approx 5 feet away-reports an open wound
Employee and industry
- Job description
- Tire Tech L
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 423130 — RETAIL AUTOMOTIVE, TIRES, ACCESSORIES, AND SEVICES
- NAICS vintage
- 2017
- Avg employees
- 20
- Total hours worked
- 26677
- EIN
- 381909144
- Establishment ID
- 1286974
- Employer case #
- 27983054
When (timing detail)
- Date of incident
- Shift started
- 9:00
- Time of incident
- 13:50
- Filing year
- 2025
- Submitted
- 13FEB26:17:00:00
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.