CLEVELAND, TN —
OSHA Injury Report: 739 FC CLEVELAND TN
Injury · Days away from work
At a glance
On , an injury at 739 FC CLEVELAND TN in CLEVELAND, TN 37312 resulted in days away from work. Employee was food Service Assistant Manager in supermarket.
Where did this happen?
- Establishment
- 739 FC CLEVELAND TN
- Parent company
- K VA T Food Stores Inc
- Street
- 4615 GEORGETOWN RD NW
- City
- CLEVELAND
- State
- TN
- ZIP
- 37312
- On-site location
- Deli freezer
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 133
Before the incident
Working in freezer
What happened
Tripped over a box in the floor
Injury or illness
L shoulder and arm pain
Object or substance involved
Box
Summary line
L shoulder and arm
Employee and industry
- Job description
- Food Service Assistant Manager
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 77
- Total hours worked
- 112983
- EIN
- 550421484
- Establishment ID
- 1293514
- Employer case #
- C-78132
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 8:55
- Filing year
- 2024
- Submitted
- 21FEB2025:15:09:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.