JACKSON, WI —
OSHA Injury Report: Jackson Location
Skin disorder · Other recordable case
At a glance
On , a skin disorder at Jackson Location in N168 W20666 Main Street, JACKSON, WI 53037 resulted in other recordable case. Employee was production Assistant in concrete pouring.
Where did this happen?
- Establishment
- Jackson Location
- Parent company
- Miller Monument Company, Inc.
- Street
- N168 W20666 Main Street
- City
- JACKSON
- State
- WI
- ZIP
- 53037
- On-site location
- cleaning in bathroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Skin disorder (code 2)
Before the incident
Preparing to clean bathroom
What happened
[REDACTED] was washing and cleaning with a Pin-sol bleach and water solution. Duration of time working on cleaning task was 45-60 minutes. Gloves were available for use.
Injury or illness
Superficial chemical burn on right hand
Object or substance involved
Pine-sol bleach and water solution
Summary line
superficial chemical burn on right hand from cleaning supplies
Employee and industry
- Job description
- Production Assistant
- SOC code
- 43-5061 — Production, Planning, and Expediting Clerks
- NAICS code
- 238110 — Concrete pouring
- NAICS vintage
- 2022
- Avg employees
- 24
- Total hours worked
- 40203
- EIN
- 391807984
- Establishment ID
- 195869
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 14:00:00.000
- Submitted
- 01FEB24:21:50:00
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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.