Lafayette, IN —
OSHA Injury Report: Copper Moon Coffee LLC
Injury · Days away from work
At a glance
On , an injury at Copper Moon Coffee LLC in Lafayette, IN 47905 resulted in days away from work. Employee was machine Operator in coffee concentrates (i.e., instant coffee) manufacturing.
Where did this happen?
- Establishment
- Copper Moon Coffee LLC
- Parent company
- Copper Moon Coffee LLC
- Street
- 1503 Veterans Memorial Pkwy E
- City
- Lafayette
- State
- IN
- ZIP
- 47905
- On-site location
- Production floor
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
Before the incident
He just put filter paper roll in machine
What happened
He fell backwards and hit his head on the ground
Injury or illness
Hit his head
Object or substance involved
Concrete floor
Summary line
Put filter paper in machine and fell backwards and hit his head on the ground
Employee and industry
- Job description
- Machine Operator
- SOC code
- 51-3099 — Food Processing Workers, All Other
- NAICS code
- 311920 — Coffee concentrates (i.e., instant coffee) manufacturing
- NAICS vintage
- 2012
- Avg employees
- 155
- Total hours worked
- 376193
- EIN
- 208640767
- Establishment ID
- 934286
- Employer case #
- 6
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 18:30
- Filing year
- 2024
- Submitted
- 20FEB2025:16:20:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.