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
- Holland MI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 28
Before the incident
Pulling interior footing forms and stacking 16 ' 2x10 's using a hammer and shovel
What happened
Carrying a 2x10 to the bunk and lost footing in the loose sand. Slid back into the hole.
Injury or illness
right knee strain
Object or substance involved
sandy soil
Summary line
strain or tear
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 #
- 55627357
When (timing detail)
- Date of incident
- Time of incident
- 10:35:00.000
- 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.