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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Moline, MI —

OSHA Injury Report: 2683_5121

Injury · Other recordable case

At a glance

On , an injury at 2683_5121 in 1262 Cutting Industrial Dr, Moline, MI 49335 resulted in other recordable case. Employee was laborer.

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Where did this happen?

Establishment
2683_5121
Parent company
Burgess Concrete Construction Inc
Street
1262 Cutting Industrial Dr
City
Moline
State
MI
ZIP
49335
On-site location
Holland MI

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

Laying out post-tension tendons

What happened

A tendon whipped up striking the employee in the mouth

Injury or illness

broken tooth

Object or substance involved

post-tension tendon

Summary line

broken tooth

Employee and industry

Job description
Laborer
SOC code
47-2061 — Construction Laborers
NAICS code
238110
NAICS vintage
2022
Avg employees
99
Total hours worked
205633
EIN
382694249
Establishment ID
670695
Employer case #
67489177

When (timing detail)

Date of incident
Time of incident
11:00:00.000
Filing year
2023
Submitted
01MAR24:21:14:00

More injuries at 2683_5121

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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.