TAZEWELL, TN —
OSHA Injury Report: 645 FC TAZEWELL TN
Injury · Days away from work
At a glance
On , an injury at 645 FC TAZEWELL TN in 1410 NORTH BROAD STREET, TAZEWELL, TN 378794350 resulted in days away from work. Employee was courtesy Clk Over in supermarket.
Where did this happen?
- Establishment
- 645 FC TAZEWELL TN
- Parent company
- K VA T Food Stores Inc.
- Street
- 1410 NORTH BROAD STREET
- City
- TAZEWELL
- State
- TN
- ZIP
- 378794350
- On-site location
- Register 4&5
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
Before the incident
working register
What happened
Retrieving a small item that got stuck in the register belt & felt shoulder pop
Injury or illness
L shoulder strain
Object or substance involved
pull stuck item
Summary line
L shoulder strain pull stuck item Retrieving a small item that got stuck in the register belt & felt shoulder pop
Employee and industry
- Job description
- Courtesy Clk Over
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 113
- Total hours worked
- 163037
- EIN
- 550421484
- Establishment ID
- 1293458
- Employer case #
- 82401
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 14:16
- Filing year
- 2025
- Submitted
- 16JAN26:21:04:00
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View 645 FC TAZEWELL 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.