CLINTON, TN —
OSHA Injury Report: 654 FC CLINTON TN
Injury · Job transfer or restriction
At a glance
On , an injury at 654 FC CLINTON TN in CLINTON, TN 37716 resulted in job transfer or restriction. Employee was starbucks Manager in supermarket.
Where did this happen?
- Establishment
- 654 FC CLINTON TN
- Parent company
- K VA T Food Stores Inc
- Street
- 507 SOUTH CHARLES G SEVIERS BOULEVA
- City
- CLINTON
- State
- TN
- ZIP
- 37716
- On-site location
- Public restrooms
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 28
Before the incident
Walking to restroom
What happened
Tripped in restroom and fell into toilet
Injury or illness
R shoulder contusion injury
Object or substance involved
Toilet
Summary line
R shoulder contusion toilet
Employee and industry
- Job description
- Starbucks Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 128
- Total hours worked
- 188307
- EIN
- 550421484
- Establishment ID
- 1293465
- Employer case #
- C-77842
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 8:45
- Filing year
- 2024
- Submitted
- 03MAR2025:21:06:00
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.