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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0386 - BRENTWOOD TN

Injury · Job transfer or restriction

On , an injury at 0386 - BRENTWOOD TN in BRENTWOOD, TN 92211 resulted in job transfer or restriction. Employee was cAKE DECORATOR in wholesale Grocer.

Establishment
0386 - BRENTWOOD TN
Parent company
Costco Wholesale
Street
98 SEABOARD LANE
City
BRENTWOOD
State
TN
ZIP
92211
On-site location
BAKERY
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
10

employee was filling cakes and then turned to walk to sink

Employee tunred to walk to sink slipped on floor fell hurting R elbow and left knee

Laceration Elbow Right Side

Floor Walking Surface

Laceration Elbow Right Side Fall from Same Level Floor Walking Surface

Job description
CAKE DECORATOR
SOC code
51-3092 — Food Batchmakers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
307
Total hours worked
463368
EIN
911223280
Establishment ID
1217244
Employer case #
WC80DG3096
Date of incident
Shift started
7:30:00.000
Time of incident
11:00:00.000
Submitted
04MAR24:19:33:00

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.