Middlebury, IN —
OSHA Injury Report: Lippert Components Plant 28
Injury · Other recordable case
At a glance
On , an injury at Lippert Components Plant 28 in Middlebury, IN 46540 resulted in other recordable case. Employee was cut House Coordinator in fabricated structural metal manufacturing.
Where did this happen?
- Establishment
- Lippert Components Plant 28
- Parent company
- Lippert Components
- Street
- 51040 Greenfield Pkwy.
- City
- Middlebury
- State
- IN
- ZIP
- 46540
- On-site location
- Hub
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Standing by forklift
What happened
Team member was outside talking when another team member went to drive off in the Tow motor. either of them realized he was standing on banding the was wrapped up in the forklift driving away. He got his feet swept out from under him causing him to fall to the ground. Team member scrapped his left knee hurt his left forearm trying to catch himself and bumped his head.
Injury or illness
Abrasion Contusion to Left Arm Left Head Left Leg Knee Hip
Object or substance involved
Banding stuck in Forklift wheel
Summary line
Abrasion Contusion to Left Arm Left Head Left Leg Knee Hip caused by Banding stuck in Forklift wheel
Employee and industry
- Job description
- Cut House Coordinator
- SOC code
- 43-9199 — Office and Administrative Support Workers, All Other
- NAICS code
- 332312 — Fabricated structural metal manufacturing
- NAICS vintage
- 2022
- Avg employees
- 294
- Total hours worked
- 662504
- EIN
- 383420528
- Establishment ID
- 1512499
- Employer case #
- IN-202504
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 7:30
- Filing year
- 2025
- Submitted
- 27FEB26:13:49:00
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.