PENDERGRASS, GA —
OSHA Injury Report: FIVE STAR ROLL FORM
Injury · Other recordable case
At a glance
On , an injury at FIVE STAR ROLL FORM in PENDERGRASS, GA 30567 resulted in other recordable case. Employee was mATERIAL HANDLER LINE OPERATOR in custom roll forming metal products.
Where did this happen?
- Establishment
- FIVE STAR ROLL FORM
- Street
- 5786 US HWY 129 N UNIT L
- City
- PENDERGRASS
- State
- GA
- ZIP
- 30567
- On-site location
- PLANT
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
MANUAL PULING OF MATERIAL THROUGH FLATENER
What happened
HAD BOTH HANDS ON COIL FROM FLATENER AS MATERIAL CAME FROM FLATENER IT SPRUNG UP
Injury or illness
LACERATION TO FOREHEAD
Object or substance involved
TAIL OF COIL
Summary line
STRUCK ON FOREHEAD WITH TAIL OF COIL - LACERATION
Employee and industry
- Job description
- MATERIAL HANDLER LINE OPERATOR
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 332114 — Custom roll forming metal products
- NAICS vintage
- 2022
- Avg employees
- 36
- Total hours worked
- 62574
- Establishment ID
- 1152718
- Employer case #
- 23-1
When (timing detail)
- Date of incident
- Shift started
- 4:57:00.000
- Time of incident
- 9:55:00.000
- Submitted
- 22FEB24:23:10:00
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.