Palmer, MA · 2023-09-07

OSHA Injury Report: Black Bay Ventures VI LLC, DBA Palmer Foundry

Injury · Days away from work

At a glance

On 2023-09-07, an injury at Black Bay Ventures VI LLC, DBA Palmer Foundry in 22 Mount Dumplin Road, Palmer, MA 01069 resulted in days away from work. Employee was GS Pour in permanent mold castings, aluminum, unfinished, manufacturing.

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Where did this happen?

Establishment: Black Bay Ventures VI LLC, DBA Palmer Foundry
Parent company: Palmer Foundry
Street: 22 Mount Dumplin Road
City: Palmer
State: MA
ZIP: 01069
On-site location: GS Pour

What was the outcome?

Outcome: Days away from work (code 2)
Type: Injury (code 1)
Days away from work: 4

Before the incident

Employee was working in GS Mold

What happened

Employee was walking up the ramp to the line of molds when he tripped over the handle of a hoe and fell hitting his shin on the rail

Injury or illness

bruise on left shin

Object or substance involved

Metal rail

Summary line

Walking up the ramp fell and hit shin on the rail

Employee and industry

Job description: GS Pour
SOC code: 9999: Uncoded
NAICS code: 331524: Permanent mold castings, aluminum, unfinished, manufacturing
NAICS vintage: 2022
Employees at this establishment (2023 average): 103
Hours worked at this establishment (2023 total): 217,002
EIN: 270590304
Establishment ID: 910676
Employer case #: 55

When (timing detail)

Date of incident: 2023-09-07
Shift started: 05:00
Time of incident: 12:30
Filing year: 2023
Submitted to OSHA: 2024-02-28

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.

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