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Safety Incidents OSHA Severe Injury Reports · 2015–2025

ELIZABETHTON, TN —

OSHA Injury Report: 631 FC ELIZABETHTON TN

Injury · Job transfer or restriction

At a glance

On , an injury at 631 FC ELIZABETHTON TN in 920 BROAD STREET VILLAGE SHOPPING C, ELIZABETHTON, TN 37643 resulted in job transfer or restriction. Employee was food Service Clerk in supermarket.

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Where did this happen?

Establishment
631 FC ELIZABETHTON TN
Parent company
K VA T Food Stores Inc
Street
920 BROAD STREET VILLAGE SHOPPING C
City
ELIZABETHTON
State
TN
ZIP
37643
On-site location
Deli register

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
6

Before the incident

Going into kitchen

What happened

Produce tote snagged sock while walking by causing trip and fall

Injury or illness

L arm and leg sprain

Object or substance involved

Produce tote

Summary line

L arm and L leg contusions produce tote

Employee and industry

Job description
Food Service Clerk
SOC code
9999 — Uncoded
NAICS code
445110 — Supermarket
NAICS vintage
2022
Avg employees
122
Total hours worked
177422
EIN
550421484
Establishment ID
1293451
Employer case #
C-5649

When (timing detail)

Date of incident
Shift started
12:00
Time of incident
17:45
Filing year
2024
Submitted
04MAR2025:19:37:00

More injuries at 631 FC ELIZABETHTON TN

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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.