Sheboygan Falls, WI —
OSHA Injury Report: Poly Vinyl Co.
Injury · Days away from work
At a glance
On , an injury at Poly Vinyl Co. in Sheboygan Falls, WI 53085 resulted in days away from work. Employee was material Specialist in profile shapes (e.g., rod, tube), nonrigid plastics, manufacturing.
Where did this happen?
- Establishment
- Poly Vinyl Co.
- Parent company
- Poly Vinyl Co., Inc.
- Street
- 320 Range Line Road
- City
- Sheboygan Falls
- State
- WI
- ZIP
- 53085
- On-site location
- Hallway near tool crib
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 7
- Days restricted or transferred
- 94
Before the incident
Walking out of the bathroom and putting hair into a ponytail while looking down.
What happened
EE 's left arm was struck by a forklift passing by her and she was spun around hit the wall behind her and fell to the floor.
Injury or illness
Pain to the right hip left elbow right shoulder
Object or substance involved
Forklift
Summary line
Right hip left elbow right shoulder pain from forklift.
Employee and industry
- Job description
- Material Specialist
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 326121 — Profile shapes (e.g., rod, tube), nonrigid plastics, manufacturing
- NAICS vintage
- 2012
- Avg employees
- 132
- Total hours worked
- 247160
- EIN
- 202015379
- Establishment ID
- 660984
- Employer case #
- 202508
When (timing detail)
- Date of incident
- Shift started
- 14:45
- Time of incident
- 18:15
- Filing year
- 2025
- Submitted
- 05MAR26:18:22:00
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.