Atlanta, GA —
OSHA Injury Report: Fly & Form Concrete Structures, Inc.
Injury · Other recordable case
At a glance
On , an injury at Fly & Form Concrete Structures, Inc. in Atlanta, GA 30336 resulted in other recordable case. Employee was laborer in foundation, building, poured concrete, contractors.
Where did this happen?
- Establishment
- Fly & Form Concrete Structures, Inc.
- Parent company
- Fly & Form Concrete Structures, Inc.
- Street
- 1817 Westgate Pkwy SW
- City
- Atlanta
- State
- GA
- ZIP
- 30336
- On-site location
- Stripping Floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Stripping concrete formwork
What happened
Employee attempted to pry materials free and hit himself in the mouth with his hammer
Injury or illness
Four broken teeth
Object or substance involved
His hammer
Summary line
Employee attempted to pry materials free and hit himself in the mouth with his hammer
Employee and industry
- Job description
- Laborer
- SOC code
- 47-2061 — Construction Laborers
- NAICS code
- 238110 — Foundation, building, poured concrete, contractors
- NAICS vintage
- 2022
- Avg employees
- 305
- Total hours worked
- 636220
- EIN
- 863368905
- Establishment ID
- 1170595
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 6:30:00.000
- Time of incident
- 13:00:00.000
- Submitted
- 26FEB24:20:13:00
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.