Edwardsburg, MI —
OSHA Injury Report: Duo-Form Plastics
Injury · Other recordable case
At a glance
On , an injury at Duo-Form Plastics in Edwardsburg, MI 49112 resulted in other recordable case. Employee was maintenance in bathtubs, plastics, manufacturing.
Where did this happen?
- Establishment
- Duo-Form Plastics
- Parent company
- Duo-Form Acquistition Corp.
- Street
- 69836 Kraus Rd
- City
- Edwardsburg
- State
- MI
- ZIP
- 49112
- On-site location
- Bldg 6 Breakroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was using a utility knife to cut and trim edge piece for formica counter top
What happened
Employee was trimming formica piece with utility knife cutting toward his body when knife slipped and lacerated his left inner forearm just above his wrist.
Injury or illness
Laceration to left inner forearm requiring sutures to close
Object or substance involved
Improper use of a utility knife
Summary line
Laceration to left inner forearm just above wrist laceration caused by utility knife while cutting fitting formica edge to counter top
Employee and industry
- Job description
- Maintenance
- SOC code
- 49-9041 — Industrial Machinery Mechanics
- NAICS code
- 326191 — Bathtubs, plastics, manufacturing
- NAICS vintage
- 2022
- Avg employees
- 178
- Total hours worked
- 353051
- EIN
- 383599750
- Establishment ID
- 199004
- Employer case #
- 2303
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 9:00:00.000
- Submitted
- 16JAN24:15:20:00
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.