Safety Incidents OSHA Severe Injury Reports · 2015–2025
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OSHA Injury Report: Surebuilt CCS Holdings, LLC dba Jasper Materials

Injury · Other recordable case

On , an injury at Surebuilt CCS Holdings, LLC dba Jasper Materials in 150 Hickman Road, Jasper, TN 37347 resulted in other recordable case. Employee was laser Operator in fabricated structural metal manufacturing.

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Parent company
Surebuilt CCS Holdings, LLC dba Jasper Materials
Street
150 Hickman Road
City
Jasper
State
TN
ZIP
37347
On-site location
Laser area
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

cutting parts on the laser

as parts were moving through the laser employee reached in front of the moving gantry to cut a piece of wire from a part. Gantry was moving faster than thought and he was caught between the gantry and end wall of laser.

right shoulder bruising

gantry on CNC laser

bruised right shoulder when reaching in front of the moving gantry to cut a piece of wire from a part

Job description
Laser Operator
SOC code
51-4199: Metal Workers and Plastic Workers, All Other
NAICS code
332312: Fabricated structural metal manufacturing
NAICS vintage
2022
Employees at this establishment (2023 average)
65
Hours worked at this establishment (2023 total)
78,078
EIN
862752734
Establishment ID
921767
Employer case #
3
Date of incident
Shift started
06:00
Time of incident
07:20
Filing year
2023
Submitted to OSHA
2024-02-02

View Surebuilt CCS Holdings, LLC dba Jasper Materials's full OSHA safety record →

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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