Fort Wayne, IN ·
OSHA Injury Report: 131
Injury · Other recordable case
At a glance
On , an injury at 131 in 10120 Maysville Road, Fort Wayne, IN 46835 resulted in other recordable case. Employee was tire Tech L in retail automotive tires, accessories and services..
Where did this happen?
- Establishment
- 131
- Parent company
- Belle Tire
- Street
- 10120 Maysville Road
- City
- Fort Wayne
- State
- IN
- ZIP
- 46835
- On-site location
- SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Pulling down an air hose
What happened
he was pulling down the air hose he was about to hook up the impact gun when the hose reel fell off the ceiling and hit him in the tailbone and R lower back resulting in soreness in his tailbone that radiates to his R lower back.
Injury or illness
contusion Struck by or against; Lower Back
Object or substance involved
air hose
Summary line
he was pulling down the air hose he was about to hook up the impact gun when the hose reel fell off the ceiling and hit him in the tailbone and R lower back resulting in soreness in his tailbone that radiates to his R lower back.
Employee and industry
- Job description
- Tire Tech L
- SOC code
- 49-3093: Tire Repairers and Changers
- NAICS code
- 423130: Retail automotive tires, accessories and services.
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 18
- Hours worked at this establishment (2023 total)
- 37,338
- EIN
- 381909144
- Establishment ID
- 943490
- Employer case #
- 26735670
When (timing detail)
- Date of incident
- Shift started
- 09:00
- Time of incident
- 09:15
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-02
More injuries at 131
View 131's full OSHA safety record →
More injuries in this industry (NAICS 423130)
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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