CROSSVILLE, TN —
OSHA Injury Report: 662 FC CROSSVILLE TN
Injury · Days away from work
At a glance
On , an injury at 662 FC CROSSVILLE TN in CROSSVILLE, TN 38571 resulted in days away from work. Employee was food Service Assistant Manager in supermarket.
Where did this happen?
- Establishment
- 662 FC CROSSVILLE TN
- Parent company
- K VA T Food Stores Inc
- Street
- 141 TOWNE CENTRE DRIVE
- City
- CROSSVILLE
- State
- TN
- ZIP
- 38571
- On-site location
- Unknown
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 20
Before the incident
Walking with shopping cart
What happened
Slipped and fell in water from ceiling leak
Injury or illness
R elbow and L hand contusion
Object or substance involved
Water
Summary line
R elbow and L hand contusion water
Employee and industry
- Job description
- Food Service Assistant Manager
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 141
- Total hours worked
- 208167
- EIN
- 550421484
- Establishment ID
- 1293472
- Employer case #
- C-75804
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 9:30
- Filing year
- 2024
- Submitted
- 26FEB2025:15:23:00
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.