BLOUNTVILLE, TN —
OSHA Injury Report: 669 FC BLOUNTVILLE TN
Injury · Other recordable case
At a glance
On , an injury at 669 FC BLOUNTVILLE TN in BLOUNTVILLE, TN 37617 resulted in other recordable case. Employee was food Service Assistant Manager in supermarket.
Where did this happen?
- Establishment
- 669 FC BLOUNTVILLE TN
- Parent company
- K VA T Food Stores Inc
- Street
- 1921 HIGHWAY 394
- City
- BLOUNTVILLE
- State
- TN
- ZIP
- 37617
- On-site location
- Deli prep
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking in freezer
What happened
Slipped on ice hit back on cart
Injury or illness
Abdomen and back strain
Object or substance involved
Ice
Summary line
Low back and abdomen strain ice
Employee and industry
- Job description
- Food Service Assistant Manager
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 120
- Total hours worked
- 166548
- EIN
- 550421484
- Establishment ID
- 1293479
- Employer case #
- C-3224
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 9:30
- Filing year
- 2024
- Submitted
- 26FEB2025:18:51:00
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.