Kentland, IN —
OSHA Injury Report: Premium Waters Incorporated
Injury · Days away from work
At a glance
On , an injury at Premium Waters Incorporated in Kentland, IN 47951 resulted in days away from work. Employee was production Operator in spring waters, purifying and bottling.
Where did this happen?
- Establishment
- Premium Waters Incorporated
- Parent company
- Premium Waters, Inc.
- Street
- 306 E Bailie St
- City
- Kentland
- State
- IN
- ZIP
- 47951
- On-site location
- Production Floor
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
Employee was placing labels in the label machine.
What happened
The employee turned to do a water test and tripped over a cord cover on the floor When employee fell she hit her head on the concrete floor.
Injury or illness
Contusion on head 2 black eyes sprained right ankle.
Object or substance involved
The concrete floor.
Summary line
Head contusion 2 black eyes Right ankle sprain from falling onto concrete floor.
Employee and industry
- Job description
- Production Operator
- SOC code
- 9999 — Uncoded
- NAICS code
- 312112 — Spring waters, purifying and bottling
- NAICS vintage
- 2022
- Avg employees
- 66
- Total hours worked
- 86078
- EIN
- 411797514
- Establishment ID
- 993814
- Employer case #
- 001960-217
When (timing detail)
- Date of incident
- Shift started
- 17:00:00.000
- Time of incident
- 0:09:00.000
- Submitted
- 15JAN24:22:38:00
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.