OSHA Injury Report: Niagara Bottling 113

At a glance

Where did this happen?

What was the outcome?

Before the incident

EE states pulling hose tripped over hose fell on R shoulder head R shoulder both knees R chest swelling pain.

What happened

EE states pulling hose tripped over hose fell on R shoulder head R shoulder both knees R chest swelling pain. Triage Notes:The incident occurred at [REDACTED]. RN first aid advise: to apply an ice pack. EE reports a bump on the R side of his head approximately about the size of a ping-pong ball. EE states he can feel severe pain when he presses the swelling. EE states R shoulder pain is moderate at rest which becomes severe with movement. EE also noted severe pain in the collarbone and difficulty raising his arm. EE sustained scrapes in both knees. Downgraded to UCC within 24 hours due to the current time. EE agreed to be seen in the morning and as soon as the Urgent Cares opens. Employee Information Notes: [REDACTED] [REDACTED] RCARI EE does not have a separate home phone number. Work Information Notes: [REDACTED] [REDACTED] RCARI EE was unable to provide SV last name and email. Closing Statement(s): Ruled out Urgent Emergent situation. Supervisor unavailable for consultation. Nurse T

Injury or illness

Strain or Tear

Object or substance involved

Other

Summary line

EE states pulling hose tripped over hose fell on R shoulder head R shoulder both knees R chest swelling pain. Triage Notes:The incident occurred at [REDACTED]. RN first aid advise: to apply an ice pack. EE reports a bump on the R side of his head approxim

Employee and industry

When (timing detail)

Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.