FORT PAYNE, AL ·
OSHA Injury Report: 503 FC FORT PAYNE AL
Injury · Other recordable case
At a glance
On , an injury at 503 FC FORT PAYNE AL in 1015 GAULT AVE SOUTH, FORT PAYNE, AL 35967 resulted in other recordable case. Employee was designated Assistant Manager in supermarket.
Where did this happen?
- Establishment
- 503 FC FORT PAYNE AL
- Parent company
- K VA T Food Stores Inc
- Street
- 1015 GAULT AVE SOUTH
- City
- FORT PAYNE
- State
- AL
- ZIP
- 35967
- On-site location
- Stockroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Working up bread
What happened
Hit head on metal staircase beam
Injury or illness
Forehead laceration
Object or substance involved
Metal staircase beam
Summary line
Forehead laceration metal staircase beam
Employee and industry
- Job description
- Designated Assistant Manager
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarket
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 77
- Hours worked at this establishment (2024 total)
- 111,927
- EIN
- 550421484
- Establishment ID
- 1293425
- Employer case #
- C-79395
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 16:45
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-27
More injuries at 503 FC Fort Payne AL
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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