South Bend, IN —
OSHA Injury Report: IN-South Bend-311-Holland
Injury · Other recordable case
At a glance
On , an injury at IN-South Bend-311-Holland in South Bend, IN 46628 resulted in other recordable case. Employee was city Combination Driver in freight Trucking lTL.
Where did this happen?
- Establishment
- IN-South Bend-311-Holland
- Parent company
- Holland
- Street
- 5550 W Cleveland Rd
- City
- South Bend
- State
- IN
- ZIP
- 46628
- On-site location
- Company Premises
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Working
What happened
Struck Injured By Hand Tool or Machine in Use
Injury or illness
Chipped Broken Tooth
Object or substance involved
normal work equipment or process
Summary line
while lowering trailer dollies dolly handle struck right side of face causing tooth to become loose.
Employee and industry
- Job description
- City Combination Driver
- SOC code
- 9999 — Uncoded
- NAICS code
- 484122 — Freight Trucking lTL
- NAICS vintage
- 2022
- Avg employees
- 103
- Total hours worked
- 205500
- EIN
- 380655940
- Establishment ID
- 1242619
- Employer case #
- 2300002588
When (timing detail)
- Date of incident
- Time of incident
- 0:00:00.000
- Submitted
- 15MAY24:18:59:00
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.