Kingsport, TN —
OSHA Injury Report: Madison House
Injury · Other recordable case
At a glance
On , an injury at Madison House in Kingsport, TN 37660 resulted in other recordable case. Employee was cook in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Madison House
- Parent company
- Ballad Health System
- Street
- 2000 Greenway Street
- City
- Kingsport
- State
- TN
- ZIP
- 37660
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Pulling metal pan of food from oven.
What happened
TM stated that she was pulling a metal pan of food out of the oven bumped tray against left forearm resulting in burn to left forearm.
Injury or illness
Burn left forearm
Object or substance involved
Hot food tray pan
Summary line
Superficial Paritial Thickness Burn to multiple sites on left inner forearm caused by a hot pain tray just removed from the oven.
Employee and industry
- Job description
- Cook
- SOC code
- 35-2012 — Cooks, Institution and Cafeteria
- NAICS code
- 623311 — Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 21
- Total hours worked
- 38420
- EIN
- 621308216
- Establishment ID
- 49591
- Employer case #
- 4116437
When (timing detail)
- Date of incident
- Shift started
- 9:30:00.000
- Time of incident
- 14:45:00.000
- Submitted
- 19JAN24:19:21:00
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.