Fort Wayne, IN —
OSHA Injury Report: Independence Drive
Injury · Other recordable case
At a glance
On , an injury at Independence Drive in Fort Wayne, IN 46808 resulted in other recordable case. Employee was maintenance Tech in tire retreading, recapping or rebuilding.
Where did this happen?
- Establishment
- Independence Drive
- Parent company
- McMahon Tire Service Inc
- Street
- 3525 Independence Dr
- City
- Fort Wayne
- State
- IN
- ZIP
- 46808
- On-site location
- Retread Shop
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Working on air hose
What happened
was trying to extend the air line and the line came apart and hit him in the nose
Injury or illness
Nose injury
Object or substance involved
air line
Summary line
Nose injury
Employee and industry
- Job description
- Maintenance Tech
- SOC code
- 49-9041 — Industrial Machinery Mechanics
- NAICS code
- 326212 — Tire retreading, recapping or rebuilding
- NAICS vintage
- 2022
- Avg employees
- 29
- Total hours worked
- 61459
- EIN
- 351154189
- Establishment ID
- 858627
- Employer case #
- 25
When (timing detail)
- Date of incident
- Shift started
- 5:29:00.000
- Time of incident
- 14:50:00.000
- Submitted
- 15JAN24:19:46:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.