Atlanta, GA —
OSHA Injury Report: Fly & Form Concrete Structures, Inc.
Injury · Other recordable case
At a glance
On , an injury at Fly & Form Concrete Structures, Inc. in Atlanta, GA 30336 resulted in other recordable case. Employee was carpenter in foundation, building, poured concrete, contractors.
Where did this happen?
- Establishment
- Fly & Form Concrete Structures, Inc.
- Parent company
- Fly & Form Concrete Structures, Inc.
- Street
- 1817 Westgate Pkwy SW
- City
- Atlanta
- State
- GA
- ZIP
- 30336
- On-site location
- Ground level
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking out of the building
What happened
A worker dropped a socket adapter from the 4th floor and it hit the employee 's shoulder and fractured the tip of the clavicle.
Injury or illness
Fractured tip of the clavicle.
Object or substance involved
a 1 2 socket adapter
Summary line
A worker dropped a socket adapter from the 4th floor and it hit the employee 's shoulder and fractured the tip of the clavicle.
Employee and industry
- Job description
- Carpenter
- SOC code
- 47-2031 — Carpenters
- NAICS code
- 238110 — Foundation, building, poured concrete, contractors
- NAICS vintage
- 2022
- Avg employees
- 305
- Total hours worked
- 636220
- EIN
- 863368905
- Establishment ID
- 1170595
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 6:30:00.000
- Time of incident
- 11:20:00.000
- Submitted
- 04MAR24:15:27:00
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.