Elkhart, IN ·
OSHA Injury Report: Patrick Industries dba Adorn Custom Vinyl's #140
Injury · Other recordable case
At a glance
On , an injury at Patrick Industries dba Adorn Custom Vinyl's #140 in 57420 Nagy Drive, Elkhart, IN 46516 resulted in other recordable case. 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
- Moulder #5
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Pushing material into molder #5
What happened
While pushing material into molder #5 she felt pain in right elbow arm.
Injury or illness
Tennis elbow Lifting
Object or substance involved
Pushing raw material into moulder.
Summary line
Tennis elbow Lifting
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 #
- 8
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 20:35
- 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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