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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Allied Concrete Forming, Inc

Injury · Days away from work

On , an injury at Allied Concrete Forming, Inc in 4413 Republic Court NW, Concord, NC 28027 resulted in days away from work. Employee was laborer in chimney, concrete, construction.

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Street
4413 Republic Court NW
City
Concord
State
NC
ZIP
28027
On-site location
Winston-Salem NC job site
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
128

Setting Forms

While hooked to the wall he was working on his foot slipped and the retractable he was attached to caught him and he was swung into the formed wall.

Right Shoulder

Force of falling into the wall.

Right shoulder

Job description
Laborer
SOC code
47-2061 — Construction Laborers
NAICS code
238110 — Chimney, concrete, construction
NAICS vintage
2022
Avg employees
35
Total hours worked
67584
EIN
561507055
Establishment ID
422822
Employer case #
1
Date of incident
Shift started
8:00:00.000
Time of incident
15:00:00.000
Filing year
2023
Submitted
28FEB24:17:30:00

WM 8218

WM 6402

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.