ELIZABETHTON, TN —
OSHA Injury Report: 631 FC ELIZABETHTON TN
Injury · Job transfer or restriction
At a glance
On , an injury at 631 FC ELIZABETHTON TN in ELIZABETHTON, TN 37643 resulted in job transfer or restriction. Employee was food Service Clerk in supermarket.
Where did this happen?
- Establishment
- 631 FC ELIZABETHTON TN
- Parent company
- K VA T Food Stores Inc
- Street
- 920 BROAD STREET VILLAGE SHOPPING C
- City
- ELIZABETHTON
- State
- TN
- ZIP
- 37643
- On-site location
- Deli register
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
Going into kitchen
What happened
Produce tote snagged sock while walking by causing trip and fall
Injury or illness
L arm and leg sprain
Object or substance involved
Produce tote
Summary line
L arm and L leg contusions produce tote
Employee and industry
- Job description
- Food Service Clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 122
- Total hours worked
- 177422
- EIN
- 550421484
- Establishment ID
- 1293451
- Employer case #
- C-5649
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 17:45
- Filing year
- 2024
- Submitted
- 04MAR2025:19:37:00
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.