CROSSVILLE, TN —
OSHA Injury Report: 656 FC CROSSVILLE TN
Injury · Days away from work
At a glance
On , an injury at 656 FC CROSSVILLE TN in CROSSVILLE, TN 38555 resulted in days away from work. Employee was food Service Clerk in supermarket.
Where did this happen?
- Establishment
- 656 FC CROSSVILLE TN
- Parent company
- K VA T Food Stores Inc
- Street
- 1180 WEST AVENUE
- City
- CROSSVILLE
- State
- TN
- ZIP
- 38555
- On-site location
- Deli prep
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 54
Before the incident
Working in deli
What happened
Slipped on unknown substance and fell
Injury or illness
Low back strain
Object or substance involved
Unknown substance in floor
Summary line
Low back strain unknown substance on floor
Employee and industry
- Job description
- Food Service Clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 153
- Total hours worked
- 214955
- EIN
- 550421484
- Establishment ID
- 1293467
- Employer case #
- C-79085
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 6:30
- Filing year
- 2024
- Submitted
- 26FEB2025:20:23:00
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.