Sumner, WA —
OSHA Injury Report: Evergreen Pre-Cast, Inc
Injury · Job transfer or restriction
At a glance
On , an injury at Evergreen Pre-Cast, Inc in Sumner, WA 98390 resulted in job transfer or restriction. Employee was laborer in concrete tanks manufacturing.
Where did this happen?
- Establishment
- Evergreen Pre-Cast, Inc
- Parent company
- Evergreen Pre-Cast, Inc
- Street
- 13212 Valley Ave. E.
- City
- Sumner
- State
- WA
- ZIP
- 98390
- On-site location
- Production floor
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
Putting together a form.
What happened
Form slipped and fell on top of his foot.
Injury or illness
Injury
Object or substance involved
Form
Summary line
Form fell on top of right foot.
Employee and industry
- Job description
- Laborer
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 327390 — Concrete tanks manufacturing
- NAICS vintage
- 2022
- Avg employees
- 20
- Total hours worked
- 35157
- EIN
- 912091876
- Establishment ID
- 658959
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 12:30:00.000
- Submitted
- 16JAN24:18:26:00
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.