2,098,129Injury reports 132,232Establishments Most recent incident 2025-12-31
Safety Incidents OSHA Severe Injury Reports · 2015–2025

ELIZABETHTON, TN —

OSHA Injury Report: 631 FC ELIZABETHTON TN

Injury · Days away from work

At a glance

On , an injury at 631 FC ELIZABETHTON TN in 920 BROAD STREET VILLAGE SHOPPING C, ELIZABETHTON, TN 376432315 resulted in days away from work. Employee was food Serv Asst Mgr Over 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
376432315
On-site location
Deli freezer

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
3
Days restricted or transferred
15

Before the incident

walking out of cooler

What happened

Tripped over black mat in floor fell

Injury or illness

L knee & left ankle contusion

Object or substance involved

black mat

Summary line

L knee & left ankle contusion black mat Tripped over black mat in floor fell

Employee and industry

Job description
Food Serv Asst Mgr Over
SOC code
00-9900 — Insufficient Information - NIOSH
NAICS code
445110 — Supermarket
NAICS vintage
2022
Avg employees
112
Total hours worked
168765
EIN
550421484
Establishment ID
1293451
Employer case #
80561

When (timing detail)

Date of incident
Shift started
13:00
Time of incident
17:35
Filing year
2025
Submitted
16JAN26:21:04:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.