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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Atlanta, GA —

OSHA Injury Report: Fly & Form Concrete Structures, Inc.

Injury · Other recordable case

At a glance

On , an injury at Fly & Form Concrete Structures, Inc. in 1817 Westgate Pkwy SW, Atlanta, GA 30336 resulted in other recordable case. Employee was carpenter in foundation, building, poured concrete, contractors.

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Where did this happen?

Establishment
Fly & Form Concrete Structures, Inc.
Parent company
Fly & Form Concrete Structures, Inc.
Street
1817 Westgate Pkwy SW
City
Atlanta
State
GA
ZIP
30336
On-site location
Ground level

What was the outcome?

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

Before the incident

Walking out of the building

What happened

A worker dropped a socket adapter from the 4th floor and it hit the employee 's shoulder and fractured the tip of the clavicle.

Injury or illness

Fractured tip of the clavicle.

Object or substance involved

a 1 2 socket adapter

Summary line

A worker dropped a socket adapter from the 4th floor and it hit the employee 's shoulder and fractured the tip of the clavicle.

Employee and industry

Job description
Carpenter
SOC code
47-2031 — Carpenters
NAICS code
238110 — Foundation, building, poured concrete, contractors
NAICS vintage
2022
Avg employees
305
Total hours worked
636220
EIN
863368905
Establishment ID
1170595
Employer case #
3

When (timing detail)

Date of incident
Shift started
6:30:00.000
Time of incident
11:20:00.000
Filing year
2023
Submitted
04MAR24:15:27:00

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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.