Kernersville, NC —
OSHA Injury Report: 3form Glass
Injury · Other recordable case
At a glance
On , an injury at 3form Glass in 500 Indeneer Drive Suite 4, Kernersville, NC 27284 resulted in other recordable case. Employee was cut Table Operator in furniture tops, glass (e.g., beveled, cut, polished), made from purchased glass.
Where did this happen?
- Establishment
- 3form Glass
- Parent company
- 3form
- Street
- 500 Indeneer Drive Suite 4
- City
- Kernersville
- State
- NC
- ZIP
- 27284
- On-site location
- Glass Fabrication
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Cutting glass
What happened
Laceration to Chin-While cutting glass he struck himself in the chin as he moved the piece.
Injury or illness
Chin Laceration
Object or substance involved
Sheet of glass
Summary line
Laceration to chin- while cutting glass he struck himself in the chin as he moved the piece of glass.
Employee and industry
- Job description
- Cut Table Operator
- SOC code
- 51-9032 — Cutting and Slicing Machine Setters, Operators, and Tenders
- NAICS code
- 327215 — Furniture tops, glass (e.g., beveled, cut, polished), made from purchased glass
- NAICS vintage
- 2022
- Avg employees
- 64
- Total hours worked
- 126234
- EIN
- 463882269
- Establishment ID
- 434882
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Time of incident
- 18:00:00.000
- Filing year
- 2023
- Submitted
- 22JAN24:23:32:00
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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.