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 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
- PUR Laminator
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Purging PUR rollers and putting the glue in a box
What happened
Purging the PUR rollers [REDACTED] around [REDACTED] putting glue on a box when it was time to remove the box he tried to do it by himself and the box folded and the glue fell on his right forearm covering maybe covering 2 to 3 inches in glue.
Injury or illness
Burn on right forearm
Object or substance involved
Hot Glue
Summary line
Burn on right forearm
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 #
- 92572
When (timing detail)
- Date of incident
- Shift started
- 03:00
- Time of incident
- 03:35
- 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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