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 asst Produce Mgr 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
- Lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 50
Before the incident
getting out of car
What happened
Stepping out of truck stepped onto black ice & fell breaking ankle
Injury or illness
R ankle fracture
Object or substance involved
ice
Summary line
R ankle fracture ice Stepping out of truck stepped onto black ice & fell breaking ankle
Employee and industry
- Job description
- Asst Produce Mgr Over
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 113
- Total hours worked
- 163037
- EIN
- 550421484
- Establishment ID
- 1293458
- Employer case #
- 82844
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 8:00
- 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.