Avondale, AZ —
OSHA Injury Report: Copper State Rubber of Arizona Inc
Injury · Job transfer or restriction
At a glance
On , an injury at Copper State Rubber of Arizona Inc in Avondale, AZ 85323 resulted in job transfer or restriction. Employee was hose Tester.
Where did this happen?
- Establishment
- Copper State Rubber of Arizona Inc
- Parent company
- Copper State Rubber of Arizona Inc
- Street
- 10485 W Roosevelt Street
- City
- Avondale
- State
- AZ
- ZIP
- 85323
- On-site location
- Test Area
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 3
Before the incident
Taking a cap off the end of the hose using a hammer
What happened
Standing on the testing machine lost balance striking his knee with hammer in his hand and twisted his ankle when he jumped to the ground
Injury or illness
Left knee contusion left ankle sprain
Object or substance involved
A hammer and the ground
Summary line
Left knee contusion from hammer strike left ankle sprain from jumping off test chamber
Employee and industry
- Job description
- Hose Tester
- SOC code
- 51-9061 — Inspectors, Testers, Sorters, Samplers, and Weighers
- NAICS code
- 326220
- NAICS vintage
- 2022
- Avg employees
- 48
- Total hours worked
- 2356
- EIN
- 860197857
- Establishment ID
- 1236515
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 14:30:00.000
- Submitted
- 12MAR24:13:31:00
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.