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 150 Hickman Road, Jasper, TN 37347 resulted in other recordable case. Employee was assembler 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
- Assembly
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
stacking concrete forms
What happened
employee was helping to stack 8x8 concrete forms and lost grip causing the form to smash right thumb
Injury or illness
smashed thumb; employee refused medical treatment stating he only needed a bandaid and that he could use the thumb hand and wanted to return to work. He worked for the remainder of the shift and returned the following day without any issues
Object or substance involved
8x8 concrete form
Summary line
mashed right thumb by dropping part on it
Employee and industry
- Job description
- Assembler
- SOC code
- 51-2099: Assemblers and Fabricators, 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 #
- 8
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-02
More injuries at Surebuilt CCS Holdings, LLC dba Jasper Materials
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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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