Moline, MI —
OSHA Injury Report: 2683_5121
Injury · Days away from work
At a glance
On , an injury at 2683_5121 in Moline, MI 49335 resulted in days away from work. Employee was laborer.
Where did this happen?
- Establishment
- 2683_5121
- Parent company
- Burgess Concrete Construction Inc
- Street
- 1262 Cutting Industrial Dr
- City
- Moline
- State
- MI
- ZIP
- 49335
- On-site location
- Hudsonville
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 6
Before the incident
Walking from dumpster into building roofing flash and 1 gallon bucket full of roof flashing plates blew off the roof and struck him in head and neck area resulting in contusion laceration on shoulder and scrape on eyebrow
What happened
Walking from dumpster into building roofing flash and 1 gallon bucket full of roof flashing plates blew off the roof and struck him in head and neck area resulting in contusion laceration on shoulder and scrape on eyebrow
Injury or illness
Contusion laceration on shoulder and scrape on eyebrow
Object or substance involved
bucket filled with roof fastening plates
Summary line
Walking from dumpster into building roofing flash and 1 gallon bucket blew off roof and struck him in head
Employee and industry
- Job description
- Laborer
- SOC code
- 47-2061 — Construction Laborers
- NAICS code
- 238110
- NAICS vintage
- 2022
- Avg employees
- 99
- Total hours worked
- 205633
- EIN
- 382694249
- Establishment ID
- 670695
- Employer case #
- 16542095
When (timing detail)
- Date of incident
- Time of incident
- 10:40:00.000
- Submitted
- 01MAR24:21:14:00
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.