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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Elkhart, IN —

OSHA Injury Report: Exemplary Foam

Injury · Job transfer or restriction

At a glance

On , an injury at Exemplary Foam in 1235 Hively Ave, Elkhart, IN 46517 resulted in job transfer or restriction. Employee was maintenance Technician in foam Frabricating.

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Where did this happen?

Establishment
Exemplary Foam
Parent company
Dimensional Foam Products
Street
1235 Hively Ave
City
Elkhart
State
IN
ZIP
46517
On-site location
Skiver area

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
2

Before the incident

Checking belt on motor

What happened

Reached in to skiver ansd got too close to blade cutting his knuckles

Injury or illness

Laceration on knuckle

Object or substance involved

Skiver Blade

Summary line

Right hand knucles cut whle checking motor

Employee and industry

Job description
Maintenance Technician
SOC code
49-9041 — Industrial Machinery Mechanics
NAICS code
326150 — Foam Frabricating
NAICS vintage
2022
Avg employees
60
Total hours worked
127397
EIN
862385871
Establishment ID
951465
Employer case #
R20230007

When (timing detail)

Date of incident
Shift started
6:00:00.000
Time of incident
8:50:00.000
Filing year
2023
Submitted
12JAN24:18:44:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.