Belvidere, IL —
OSHA Injury Report: CCA Midwest, Inc.
Injury · Death
At a glance
On , an injury at CCA Midwest, Inc. in Belvidere, IL 61008 resulted in death. Employee was foreman in prefabricated wood frame component (e.g., trusses) installation.
Where did this happen?
- Establishment
- CCA Midwest, Inc.
- Street
- 2340 Newburg Rd
- City
- Belvidere
- State
- IL
- ZIP
- 61008
- On-site location
- 455
What was the outcome?
- Outcome
- Death (code 1)
- Type
- Injury (code 1)
- Date of death
Before the incident
Sheeting roof
What happened
Employee fell from roof
Injury or illness
Head and Body trauma
Object or substance involved
Ground
Summary line
Head and body trauma from fall
Employee and industry
- Job description
- Foreman
- SOC code
- 47-1011 — First-Line Supervisors of Construction Trades and Extraction Workers
- NAICS code
- 238130 — Prefabricated wood frame component (e.g., trusses) installation
- NAICS vintage
- 2022
- Avg employees
- 339
- Total hours worked
- 598447
- EIN
- 272208965
- Establishment ID
- 192540
- Employer case #
- 32
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 15:15:00.000
- Submitted
- 01MAR24:14:18:00
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.