Moline, MI —
OSHA Injury Report: 2683_5121
Injury · Other recordable case
At a glance
On , an injury at 2683_5121 in Moline, MI 49335 resulted in other recordable case. 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Laying out post-tension tendons
What happened
A tendon whipped up striking the employee in the mouth
Injury or illness
broken tooth
Object or substance involved
post-tension tendon
Summary line
broken tooth
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 #
- 67489177
When (timing detail)
- Date of incident
- Time of incident
- 11:00:00.000
- 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.