Lithia Springs, GA —
OSHA Injury Report: Williams Form Engineering Georgia
Injury · Days away from work
At a glance
On , an injury at Williams Form Engineering Georgia in Lithia Springs, GA 30122 resulted in days away from work. Employee was assembly in bars, concrete reinforcing, manufacturing.
Where did this happen?
- Establishment
- Williams Form Engineering Georgia
- Parent company
- Williams Form Engineering
- Street
- 2600 Vulcan Drive
- City
- Lithia Springs
- State
- GA
- ZIP
- 30122
- On-site location
- MCP Pad outside
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 105
- Days restricted or transferred
- 25
Before the incident
applying duct tape to anchors
What happened
was wrapping duct tape over the end cap of anchor employee pulled anchor towards himself to create more space for tape roll anchor fell off table onto left foot
Injury or illness
left foot fracture
Object or substance involved
anchor
Summary line
was wrapping duct tape over the end cap of anchor employee pulled anchor towards himself to create more space for tape roll anchor fell off table onto left foot;left foot fracture
Employee and industry
- Job description
- Assembly
- SOC code
- 51-2099 — Assemblers and Fabricators, All Other
- NAICS code
- 332312 — Bars, concrete reinforcing, manufacturing
- NAICS vintage
- 2022
- Avg employees
- 54
- Total hours worked
- 111596
- EIN
- 381175280
- Establishment ID
- 749797
- Employer case #
- 2GA
When (timing detail)
- Date of incident
- Time of incident
- 14:30:00.000
- Submitted
- 30JAN24:16:58:00
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.