Elkhart, IN ·
OSHA Injury Report: Patrick Industries dba Adorn Custom Vinyl's #140
Injury · Days away from work
At a glance
On , an injury at Patrick Industries dba Adorn Custom Vinyl's #140 in 57420 Nagy Drive, Elkhart, IN 46516 resulted in days away from work. Employee was lamination Technician in plywood, hardwood, manufacturing.
Where did this happen?
- Establishment
- Patrick Industries dba Adorn Custom Vinyl's #140
- Parent company
- Adorn Custom Vinyl's BU140
- Street
- 57420 Nagy Drive
- City
- Elkhart
- State
- IN
- ZIP
- 46516
- On-site location
- Laminator H5 Infeed
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
Pushing partial bundle
What happened
Pushing partial bundle and fell onto lift table
Injury or illness
Left shoulder
Object or substance involved
Fall
Summary line
Fall injuring right shoulder
Employee and industry
- Job description
- Lamination Technician
- SOC code
- 17-3027: Mechanical Engineering Technologists and Technicians
- NAICS code
- 321211: Plywood, hardwood, manufacturing
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 308
- Hours worked at this establishment (2025 total)
- 681,181
- EIN
- 351057796
- Establishment ID
- 1267137
- Employer case #
- 78288
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 00:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-27
More injuries at Patrick Industries dba Adorn Custom Vinyl's #140
View Patrick Industries dba Adorn Custom Vinyl's #140's full OSHA safety record →
More injuries in this industry (NAICS 321211)
More injuries in IN
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.