JEFFERSON CITY, TN —
OSHA Injury Report: 615 FC JEFFERSON CITY TN
Injury · Other recordable case
At a glance
On , an injury at 615 FC JEFFERSON CITY TN in JEFFERSON CITY, TN 37760 resulted in other recordable case. Employee was food Service Clerk in supermarket.
Where did this happen?
- Establishment
- 615 FC JEFFERSON CITY TN
- Parent company
- K VA T Food Stores Inc
- Street
- 1507 O DELL AVENUE
- City
- JEFFERSON CITY
- State
- TN
- ZIP
- 37760
- On-site location
- Stockroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Putting trash bag into compactor
What happened
Cut to R elbow from foreign object in trash
Injury or illness
Laceration R elbow
Object or substance involved
Unknown foreign object in trash
Summary line
Laceration R elbow foreign object in trash
Employee and industry
- Job description
- Food Service Clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 124
- Total hours worked
- 173499
- EIN
- 550421484
- Establishment ID
- 1293440
- Employer case #
- C-1086
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 18:45
- Filing year
- 2024
- Submitted
- 03MAR2025:20:56:00
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.