Safety Incidents OSHA Severe Injury Reports · 2015–2025
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OSHA Injury Report: Premium Waters Incorporated

Injury · Days away from work

On , an injury at Premium Waters Incorporated in 306 E Bailie St, Kentland, IN 47951 resulted in days away from work. Employee was production Operator in spring waters, purifying and bottling.

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Parent company
Premium Waters, Inc.
Street
306 E Bailie St
City
Kentland
State
IN
ZIP
47951
On-site location
Production Floor
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
5

Employee was placing labels in the label machine.

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.

Contusion on head 2 black eyes sprained right ankle.

The concrete floor.

Head contusion 2 black eyes Right ankle sprain from falling onto concrete floor.

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
Date of incident
Shift started
17:00:00.000
Time of incident
0:09:00.000
Filing year
2023
Submitted
15JAN24:22:38:00

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.

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