MARYVILLE, TN —
OSHA Injury Report: 651 FC MARYVILLE TN WEST BROADWAY
Injury · Job transfer or restriction
At a glance
On , an injury at 651 FC MARYVILLE TN WEST BROADWAY in 1610 WEST BROADWAY AVENUE, MARYVILLE, TN 378015509 resulted in job transfer or restriction. Employee was cook Over in supermarket.
Where did this happen?
- Establishment
- 651 FC MARYVILLE TN WEST BROADWAY
- Parent company
- K VA T Food Stores Inc.
- Street
- 1610 WEST BROADWAY AVENUE
- City
- MARYVILLE
- State
- TN
- ZIP
- 378015509
- On-site location
- Deli Prep
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 30
Before the incident
loading chicken in rotisserie
What happened
Loading chicken in rotisserie & felt pull in shoulder
Injury or illness
R shoulder strain
Object or substance involved
loading chicken into rotisserie
Summary line
R shoulder strain loading chicken into rotisserie Loading chicken in rotisserie & felt pull in shoulder
Employee and industry
- Job description
- Cook Over
- SOC code
- 35-2021 — Food Preparation Workers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 146
- Total hours worked
- 212636
- EIN
- 550421484
- Establishment ID
- 1293463
- Employer case #
- 83032
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 10:08
- Filing year
- 2025
- Submitted
- 16JAN26:21:04:00
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View 651 FC MARYVILLE TN WEST BROADWAY'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.