Elkhart, IN ·
OSHA Injury Report: Patrick Industries dba Adorn Custom Vinyl's #140
Injury · Other recordable case
At a glance
On , an injury at Patrick Industries dba Adorn Custom Vinyl's #140 in 57420 Nagy Drive, Elkhart, IN 46516 resulted in other recordable case. Employee was forklift Operator 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
- Cut down area
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Searching for material
What happened
Banding sticking out and cut left calf resulting in stitches
Injury or illness
stitches on left calf
Object or substance involved
Banding
Summary line
Laceration to left calf
Employee and industry
- Job description
- Forklift Operator
- SOC code
- 53-7051: Industrial Truck and Tractor Operators
- 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 #
- 91411
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 11:36
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-27
More injuries at Patrick Industries dba Adorn Custom Vinyl's #140
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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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