COOKEVILLE, TN —
OSHA Injury Report: 683 FC COOKEVILLE TN
Injury · Days away from work
At a glance
On , an injury at 683 FC COOKEVILLE TN in 1545 EAST 10TH STREET, COOKEVILLE, TN 38501 resulted in days away from work. Employee was food Service Clerk in supermarket.
Where did this happen?
- Establishment
- 683 FC COOKEVILLE TN
- Parent company
- K VA T Food Stores Inc
- Street
- 1545 EAST 10TH STREET
- City
- COOKEVILLE
- State
- TN
- ZIP
- 38501
- On-site location
- Deli prep
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 9
Before the incident
Walking in deli prep area
What happened
Floors were being cleaned slipped and fell
Injury or illness
R wrist elbow low back and buttock contusions
Object or substance involved
Soapy water
Summary line
R wrist elbow low back and buttocks water
Employee and industry
- Job description
- Food Service Clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 107
- Total hours worked
- 165266
- EIN
- 550421484
- Establishment ID
- 1293490
- Employer case #
- C-78111
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 22:05
- Filing year
- 2024
- Submitted
- 26FEB2025:14:51:00
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View 683 FC COOKEVILLE TN's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.