Elkhart, IN ·
OSHA Injury Report: Patrick Industries dba Adorn Custom Vinyl's #140
Injury · Days away from work
At a glance
On , an injury at Patrick Industries dba Adorn Custom Vinyl's #140 in 57420 Nagy Drive, Elkhart, IN 46516 resulted in days away from work. Employee was general Labor in plywood, hardwood, manufacturing.
Where did this happen?
- Establishment
- Patrick Industries dba Adorn Custom Vinyl's #140
- Parent company
- Adorn Custom Vinyl's BU140
- Street
- 57420 Nagy Drive
- City
- Elkhart
- State
- IN
- ZIP
- 46516
- On-site location
- H5 Laminator
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 64
Before the incident
Setting up to clean the board coater
What happened
We believe she reached under or on top of the guard because the rag she was cleaning with got pulled into rollers. She went to grab the rag and her hand got pulled in along with her arm.
Injury or illness
Compound Fracture Degloving of right forearm.
Object or substance involved
Board coater glue applicator roller and chrome roller
Summary line
Compound fracture degloving of right forearm
Employee and industry
- Job description
- General Labor
- SOC code
- 53-7062: Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 321211: Plywood, hardwood, manufacturing
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 295
- Hours worked at this establishment (2024 total)
- 634,409
- EIN
- 351057796
- Establishment ID
- 1267137
- Employer case #
- 6
When (timing detail)
- Date of incident
- Shift started
- 04:00
- Time of incident
- 12:30
- Filing year
- 2024
- Submitted to OSHA
- 2025-01-22
More injuries at Patrick Industries dba Adorn Custom Vinyl's #140
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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