COOKEVILLE, TN —
OSHA Injury Report: 683 FC COOKEVILLE TN
Injury · Days away from work
At a glance
On , an injury at 683 FC COOKEVILLE TN in COOKEVILLE, TN 38501 resulted in days away from work. Employee was food Service Clerk in supermarket.
Where did this happen?
- Establishment
- 683 FC COOKEVILLE TN
- Parent company
- K VA T Food Stores Inc
- Street
- 1545 EAST 10TH STREET
- City
- COOKEVILLE
- State
- TN
- ZIP
- 38501
- On-site location
- Deli prep
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 9
Before the incident
Walking in deli prep area
What happened
Floors were being cleaned slipped and fell
Injury or illness
R wrist elbow low back and buttock contusions
Object or substance involved
Soapy water
Summary line
R wrist elbow low back and buttocks water
Employee and industry
- Job description
- Food Service Clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 107
- Total hours worked
- 165266
- EIN
- 550421484
- Establishment ID
- 1293490
- Employer case #
- C-78111
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 22:05
- Filing year
- 2024
- Submitted
- 26FEB2025:14:51:00
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.