La Vergne, TN · 2023-03-30

OSHA Injury Report: TN-LAVER02

Injury · Other recordable case

At a glance

On 2023-03-30, an injury at TN-LAVER02 in 1382 Heil Quaker Blvd., La Vergne, TN 37086 resulted in other recordable case. Employee was specialist sales service I in general Line Grocery Merchant Wholesalers.

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Where did this happen?

Establishment: TN-LAVER02
Parent company: Gordon Food Service
Street: 1382 Heil Quaker Blvd.
City: La Vergne
State: TN
ZIP: 37086
On-site location: coffee machine

What was the outcome?

Outcome: Other recordable case (code 4)
Type: Injury (code 1)

Before the incident

[REDACTED] WHILE FIXING COMMERCIAL COFFEE MAKER DRAINING COFFEE MACHINE CLAMP CAME OUT BOILING WATER FELL ON EE LEFT FOREARM.

What happened

[REDACTED] WHILE FIXING COMMERCIAL COFFEE MAKER DRAINING COFFEE MACHINE CLAMP CAME OUT BOILING WATER FELL ON EE LEFT FOREARM.

Injury or illness

Burn (heat)

Object or substance involved

Water

Summary line

[REDACTED] WHILE FIXING COMMERCIAL COFFEE MAKER DRAINING COFFEE MACHINE CLAMP CAME OUT BOILING WATER FELL ON EE LEFT FOREARM.

Employee and industry

Job description: SPECIALIST SALES SERVICE I
SOC code: 41-4010: Sales Representatives, Wholesale and Manufacturing
NAICS code: 424410: General Line Grocery Merchant Wholesalers
NAICS vintage: 2022
Employees at this establishment (2023 average): 62
Hours worked at this establishment (2023 total): 132,314
EIN: 381249848
Establishment ID: 1037772
Employer case #: 0090780284

When (timing detail)

Date of incident: 2023-03-30
Time of incident: 16:00
Filing year: 2023
Submitted to OSHA: 2024-02-29

More injuries at Tn-Laver02

Dec 13, 2023 La Vergne, TN Nov 7, 2023 La Vergne, TN Oct 20, 2023 La Vergne, TN Aug 1, 2023 La Vergne, TN Jul 31, 2023 La Vergne, TN

View Tn-Laver02's full OSHA safety record →

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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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