Edwardsburg, MI —
OSHA Injury Report: Duo Form Acquisition Corp
Injury · Job transfer or restriction
At a glance
On , an injury at Duo Form Acquisition Corp in Edwardsburg, MI 49112 resulted in job transfer or restriction. Employee was maintenance in plastics Manufacturer.
Where did this happen?
- Establishment
- Duo Form Acquisition Corp
- Parent company
- Lakota Corp
- Street
- 69836 Kraus Road
- City
- Edwardsburg
- State
- MI
- ZIP
- 49112
- On-site location
- M2A
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 60
Before the incident
Installing new part on [REDACTED]
What happened
While installing new parts dropped part and over extened reach to retrieve part
Injury or illness
Rght Shoulder Dislocation
Object or substance involved
Over reached for part
Summary line
Dislocation to right shoulder due to overextending reach
Employee and industry
- Job description
- Maintenance
- SOC code
- 49-9041 — Industrial Machinery Mechanics
- NAICS code
- 326199 — Plastics Manufacturer
- NAICS vintage
- 2022
- Avg employees
- 172
- Total hours worked
- 447368
- EIN
- 383599750
- Establishment ID
- 1476821
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 11:50
- Filing year
- 2025
- Submitted
- 18FEB26:21:01:00
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.