Jasper, TN —
OSHA Injury Report: Surebuilt CCS Holdings, LLC dba Jasper Materials
Injury · Other recordable case
At a glance
On , an injury at Surebuilt CCS Holdings, LLC dba Jasper Materials in Jasper, TN 37347 resulted in other recordable case. Employee was laser Operator in fabricated structural metal manufacturing.
Where did this happen?
- Establishment
- Surebuilt CCS Holdings, LLC dba Jasper Materials
- Parent company
- Surebuilt CCS Holdings, LLC dba Jasper Materials
- Street
- 150 Hickman Road
- City
- Jasper
- State
- TN
- ZIP
- 37347
- On-site location
- Laser area
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
cutting parts on the laser
What happened
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.
Injury or illness
right shoulder bruising
Object or substance involved
gantry on CNC laser
Summary line
bruised right shoulder when reaching in front of the moving gantry to cut a piece of wire from a part
Employee and industry
- 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
- Avg employees
- 65
- Total hours worked
- 78078
- EIN
- 862752734
- Establishment ID
- 921767
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 7:20:00.000
- Submitted
- 02FEB24:17:23:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.