FORT WAYNE, IN ·
OSHA Injury Report: 129-TIRE-STORE 129
Injury · Days away from work
At a glance
On , an injury at 129-TIRE-STORE 129 in 6320 ILLINOIS RD, FORT WAYNE, IN 46804 resulted in days away from work. Employee was tire Tech L in retail automotive, tires, accessories, AND sevices.
Where did this happen?
- Establishment
- 129-TIRE-STORE 129
- Parent company
- BELLE TIRE DISTRIBUTORS
- Street
- 6320 ILLINOIS RD
- City
- FORT WAYNE
- State
- IN
- ZIP
- 46804
- On-site location
- SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
setting up a truck jack and using a metal bar to adjust the jack
What happened
while setting up a truck jack and using a metal bar to adjust the jack the bar slipped and hit EE in the forehead above eyebrow
Injury or illness
open wound; contusion
Object or substance involved
struck by or against; metal bar
Summary line
while setting up a truck jack and using a metal bar to adjust the jack the bar slipped and hit EE in the forehead above eyebrow
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
- Employees at this establishment (2025 average)
- 17
- Hours worked at this establishment (2025 total)
- 25,158
- EIN
- 381909144
- Establishment ID
- 1286975
- Employer case #
- 27612276
When (timing detail)
- Date of incident
- Shift started
- 07:45
- Time of incident
- 09:50
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-13
More injuries at 129-Tire-Store 129
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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