MAYNARDVILLE, TN —
OSHA Injury Report: 680 FC MAYNARDVILLE TN
Injury · Job transfer or restriction
At a glance
On , an injury at 680 FC MAYNARDVILLE TN in 4344 MAYNARDVILLE HIGHWAY, MAYNARDVILLE, TN 378073618 resulted in job transfer or restriction. Employee was starbucks Ld Barista Over in supermarket.
Where did this happen?
- Establishment
- 680 FC MAYNARDVILLE TN
- Parent company
- K VA T Food Stores Inc.
- Street
- 4344 MAYNARDVILLE HIGHWAY
- City
- MAYNARDVILLE
- State
- TN
- ZIP
- 378073618
- On-site location
- Starbucks
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
carrying two coffees
What happened
Slipped on ice and fell R leg hip knee and elbow contusions
Injury or illness
R leg hip knee and elbow contusions
Object or substance involved
ice on floor
Summary line
[REDACTED] leg hip knee and elbow contusions ice on floor Slipped on ice and fell R leg hip knee and arm contusions
Employee and industry
- Job description
- Starbucks Ld Barista Over
- SOC code
- 35-2021 — Food Preparation Workers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 159
- Total hours worked
- 224557
- EIN
- 550421484
- Establishment ID
- 1293487
- Employer case #
- 79678
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 15:44
- Filing year
- 2025
- Submitted
- 16JAN26:21:04:00
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MAYNARDVILLE, TN—
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View 680 FC MAYNARDVILLE 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.