Adelanto, CA —
OSHA Injury Report: Clark Pacific - Adelanto
Injury · Other recordable case
At a glance
On , an injury at Clark Pacific - Adelanto in Adelanto, CA 92301 resulted in other recordable case. Employee was yard Assistant Foreman in architectural wall panels, precast concrete, manufacturing.
Where did this happen?
- Establishment
- Clark Pacific - Adelanto
- Parent company
- Clark Pacific
- Street
- 9367 Holly Rd.
- City
- Adelanto
- State
- CA
- ZIP
- 92301
- On-site location
- Production Lines
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Assisting in building forms
What happened
Employee was moving a rail to a position to be lifted by a forklift and weight pulled EE down with the momentum of the weight EE was in crouching postion
Injury or illness
Lumbar sprain
Object or substance involved
N A
Summary line
Employee was moving a rail to a position to be lifted by a forklift and weight pulled EE down with the momentum of the weight EE was in crouching postion
Employee and industry
- Job description
- Yard Assistant Foreman
- SOC code
- 9999 — Uncoded
- NAICS code
- 327390 — Architectural wall panels, precast concrete, manufacturing
- NAICS vintage
- 2012
- Avg employees
- 328
- Total hours worked
- 455733
- EIN
- 680262848
- Establishment ID
- 1023828
- Employer case #
- 13
When (timing detail)
- Date of incident
- Shift started
- 4:01
- Time of incident
- 7:30
- Filing year
- 2024
- Submitted
- 20JAN2025:17:37:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.