Bolivar, MO —
OSHA Injury Report: Bolivar #1
Injury · Other recordable case
At a glance
On , an injury at Bolivar #1 in Bolivar, MO 65613 resulted in other recordable case. Employee was aftermarket Clerk in boat yards (i.e., boat manufacturing facilities).
Where did this happen?
- Establishment
- Bolivar #1
- Parent company
- White River Marine Group
- Street
- 1402 S. Killingsworth
- City
- Bolivar
- State
- MO
- ZIP
- 65613
- On-site location
- Building Entry
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking from the parking lot to the building
What happened
Outfitter slipped and fell on icy surface landing on her elbows causing a laceration to her left elbow.
Injury or illness
Laceration to Left elbow on the outside of the elbow joint.
Object or substance involved
Concrete parking lot covered with ice.
Summary line
Slip and fell from icy surface laceration to left elbow
Employee and industry
- Job description
- Aftermarket Clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 336612 — Boat yards (i.e., boat manufacturing facilities)
- NAICS vintage
- 2022
- Avg employees
- 211
- Total hours worked
- 406808
- EIN
- 431686170
- Establishment ID
- 1084996
- Employer case #
- 23-01
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 6:45:00.000
- Submitted
- 26JAN24:18:03:00
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.