SEYMOUR, TN — 2025-11-21

OSHA Injury Report: 644 FC SEYMOUR TN

Injury · Days away from work

At a glance

On 2025-11-21, an injury at 644 FC SEYMOUR TN in 11503 CHAPMAN HWY, SEYMOUR, TN 378655045 resulted in days away from work. Employee was starbucks Barista Over in supermarket.

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Where did this happen?

Establishment: 644 FC SEYMOUR TN
Parent company: K VA T Food Stores Inc.
Street: 11503 CHAPMAN HWY
City: SEYMOUR
State: TN
ZIP: 378655045
On-site location: Starbucks

What was the outcome?

Outcome: Days away from work (code 2)
Type: Injury (code 1)
Days away from work: 40

Before the incident

working at ice machine

What happened

Top door facing of ice machine fall off & hit her in the arm

Injury or illness

R upper arm contusion

Object or substance involved

door facing

Summary line

R upper arm contusion door facing Top door facing of ice machine fall off & hit her in the arm

Employee and industry

Job description: Starbucks Barista Over
SOC code: 35-2021 — Food Preparation Workers
NAICS code: 445110 — Supermarket
NAICS vintage: 2022
Avg employees: 147
Total hours worked: 213716
EIN: 550421484
Establishment ID: 1293457
Employer case #: 82967

When (timing detail)

Date of incident: 2025-11-21
Shift started: 11:00
Time of incident: 16:30
Filing year: 2025
Submitted: 16JAN26:21:04:00

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View 644 FC SEYMOUR TN's full OSHA safety record →

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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.