Mentor, OH —
OSHA Injury Report: Fab Form Inc
Injury · Other recordable case
At a glance
On , an injury at Fab Form Inc in 7667 Jenther Dr, Mentor, OH 44060 resulted in other recordable case. Employee was press in metal stampings (except automotive, cans, coins), unfinished, manufacturing.
Where did this happen?
- Establishment
- Fab Form Inc
- Parent company
- Adams Technologies Inc
- Street
- 7667 Jenther Dr
- City
- Mentor
- State
- OH
- ZIP
- 44060
- On-site location
- Shop
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Working in breakout area - Moving material
What happened
picked up metal sheet and it slipped and cut the tip of his finger.
Injury or illness
cut to tip of right index finger.
Object or substance involved
metal sheet
Summary line
Laceration right index finger
Employee and industry
- Job description
- Press
- SOC code
- 51-4031 — Cutting, Punching, and Press Machine Setters, Operators, and Tenders, Metal and Plastic
- NAICS code
- 332119 — Metal stampings (except automotive, cans, coins), unfinished, manufacturing
- NAICS vintage
- 2022
- Avg employees
- 41
- Total hours worked
- 78113
- EIN
- 201770082
- Establishment ID
- 1092018
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 7:40:00.000
- Time of incident
- 11:00:00.000
- Filing year
- 2023
- Submitted
- 30JAN24:14:37:00
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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.