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 janitor 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
- Parking lot
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 5
Before the incident
Coming into work
What happened
Slipped on ice and fell when walking into work
Injury or illness
Right Shoulder Contusion
Object or substance involved
ice
Summary line
Contusion to right shoulder hip due to falling on ice
Employee and industry
- Job description
- Janitor
- SOC code
- 37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 326199 — Plastics Manufacturer
- NAICS vintage
- 2022
- Avg employees
- 172
- Total hours worked
- 447368
- EIN
- 383599750
- Establishment ID
- 1476821
- Employer case #
- 8
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 5:20
- 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.