ROGERSVILLE, TN —
OSHA Injury Report: 612 FC ROGERSVILLE TN
Injury · Days away from work
At a glance
On , an injury at 612 FC ROGERSVILLE TN in 1287 EAST MAIN STREET, ROGERSVILLE, TN 37857 resulted in days away from work. Employee was food Service Clerk in supermarket.
Where did this happen?
- Establishment
- 612 FC ROGERSVILLE TN
- Parent company
- K VA T Food Stores Inc
- Street
- 1287 EAST MAIN STREET
- City
- ROGERSVILLE
- State
- TN
- ZIP
- 37857
- On-site location
- Deli prep
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
Walking in deli prep
What happened
Slipped in water fell hurt R ankle
Injury or illness
R ankle sprain
Object or substance involved
Water
Summary line
R ankle sprain
Employee and industry
- Job description
- Food Service Clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 146
- Total hours worked
- 189719
- EIN
- 550421484
- Establishment ID
- 1293438
- Employer case #
- C-78668
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 15:40
- Filing year
- 2024
- Submitted
- 04MAR2025:16:26:00
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View 612 FC ROGERSVILLE 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.