BLAINE, TN —
OSHA Injury Report: 619 FC BLAINE TN
Injury · Job transfer or restriction
At a glance
On , an injury at 619 FC BLAINE TN in BLAINE, TN 37709 resulted in job transfer or restriction. Employee was designated Manager in supermarket.
Where did this happen?
- Establishment
- 619 FC BLAINE TN
- Parent company
- K VA T Food Stores Inc
- Street
- 180 RUTLEDGE PIKE
- City
- BLAINE
- State
- TN
- ZIP
- 37709
- On-site location
- Not reported
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 8
Before the incident
Putting tea in case
What happened
Turned around and felt pain in low back
Injury or illness
Low back strain
Object or substance involved
No known object or substance
Summary line
Sharp pain in low back no known object or substance
Employee and industry
- Job description
- Designated Manager
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 145
- Total hours worked
- 198199
- EIN
- 550421484
- Establishment ID
- 1293444
- Employer case #
- C-77926
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 12:15
- Filing year
- 2024
- Submitted
- 05MAR2025:14:26:00
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.