Elkhart Lake, WI —
OSHA Injury Report: ConceptWorks Inc.
Injury · Job transfer or restriction
At a glance
On , an injury at ConceptWorks Inc. in Elkhart Lake, WI 53020 resulted in job transfer or restriction. Employee was assembler in applicators, wood, manufacturing.
Where did this happen?
- Establishment
- ConceptWorks Inc.
- Parent company
- ConceptWorks, Inc.
- Street
- W3126 Hwy 32
- City
- Elkhart Lake
- State
- WI
- ZIP
- 53020
- On-site location
- Employee 's Work Bench
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 45
Before the incident
Employee was cleaning his work area before leaving at end of [REDACTED]
What happened
Employee was cleaning up his work area at the end of his shift. He turned around and tripped on the air hose on the floor. Employee landed face down with right arm beneath his right side chest. Employee tried to brace the fall with his left hand as he hit the floor.
Injury or illness
Contusion of rib on right side and contusion on left wrist
Object or substance involved
floor
Summary line
Employee tripped over air hose fell landed on right side and wrist. Contusions of wrist and rib on right side.
Employee and industry
- Job description
- Assembler
- SOC code
- 51-2099 — Assemblers and Fabricators, All Other
- NAICS code
- 321999 — Applicators, wood, manufacturing
- NAICS vintage
- 2022
- Avg employees
- 30
- Total hours worked
- 57046
- EIN
- 680594093
- Establishment ID
- 1082807
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 23:45:00.000
- Submitted
- 24JAN24:19:40:00
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.