Avondale, AZ ·
OSHA Injury Report: Copper State Rubber of Arizona Inc
Injury · Other recordable case
At a glance
On , an injury at Copper State Rubber of Arizona Inc in 10485 W Roosevelt Street, Avondale, AZ 85323 resulted in other recordable case. Employee was hose Builder.
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
- Production Plant
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Patching a gap on a hose
What happened
Employee inadvertently stepped on the power pedal causing the mandrel to start spinning catching his glove and pulling him up and over the machine and onto the floor
Injury or illness
Unknown as the employee refused medical treatment stating if we required it he would quit his job - when we said he had to go to the hospital he left the premises
Object or substance involved
The cement floor
Summary line
Contusion right ear right arm
Employee and industry
- Job description
- Hose Builder
- SOC code
- 9999: Uncoded
- NAICS code
- 326220
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 48
- Hours worked at this establishment (2023 total)
- 2,356
- EIN
- 860197857
- Establishment ID
- 1236515
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 16:30
- Time of incident
- 20:39
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-12
More injuries at Copper State Rubber of Arizona Inc
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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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