Tualatin, OR ·
OSHA Injury Report: Brew Dr. Kombucha
Injury · Days away from work
At a glance
On , an injury at Brew Dr. Kombucha in 12241 SW Myslony St, Tualatin, OR 97062 resulted in days away from work. Employee was packaging Operator in beverages, soft drink (including artificially carbonated waters), manufacturing.
Where did this happen?
- Establishment
- Brew Dr. Kombucha
- Parent company
- Brew Dr. Kombucha
- Street
- 12241 SW Myslony St
- City
- Tualatin
- State
- OR
- ZIP
- 97062
- On-site location
- Krones Line Case Erector
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 59
Before the incident
EE was clearing a case jam in the case [REDACTED]
What happened
EE tripped E-stop circuit and stuck head inside machine. While de-energized a component of the equipment lost air pressure and began to move due to the force of gravity striking EE in the forehead.
Injury or illness
Concussion to the Head
Object or substance involved
Uncontrolled energy source
Summary line
Concussion to the Head
Employee and industry
- Job description
- Packaging Operator
- SOC code
- 51-9111: Packaging and Filling Machine Operators and Tenders
- NAICS code
- 312111: Beverages, soft drink (including artificially carbonated waters), manufacturing
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 140
- Hours worked at this establishment (2023 total)
- 292,163
- EIN
- 811305336
- Establishment ID
- 1094074
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 15:15
- Time of incident
- 22:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-01-30
More injuries at Brew Dr. Kombucha
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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, so no per-record IMIS deep link exists.
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