Mableton, GA ·
OSHA Injury Report: Capital Forming Inc
Injury · Days away from work
At a glance
On , an injury at Capital Forming Inc in 5845 Jackaranda Drive SE, Mableton, GA 301E6 resulted in days away from work. Employee was labor in concrete form contractors.
Where did this happen?
- Establishment
- Capital Forming Inc
- Parent company
- Capital Forming Inc
- Street
- 5845 Jackaranda Drive SE
- City
- Mableton
- State
- GA
- ZIP
- 301E6
- On-site location
- level 2 southside ladder
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 33
- Days restricted or transferred
- 202
Before the incident
Wearing all his PPE and had been trained on ladders
What happened
employee was walking towards ladder and slipped. He instantly grabbled ladder with right arm and felt a discomfort in right shoulder.
Injury or illness
dislocation of shoulder
Object or substance involved
the force from slipping and having to grab ladder.
Summary line
Employee walking up to ladder slipped and grabbled on to ladder with right arm and dislocated his shoulder.
Employee and industry
- Job description
- Labor
- SOC code
- 47-2061: Construction Laborers
- NAICS code
- 238190: Concrete form contractors
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 129
- Hours worked at this establishment (2023 total)
- 272,207
- Establishment ID
- 688606
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 12:01
- Filing year
- 2023
- Submitted to OSHA
- 2024-01-26
More injuries at Capital Forming Inc
View Capital Forming Inc's full OSHA safety record →
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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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