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 food Service Clerk 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
- Deli services
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
Working at slicer
What happened
Tripped over slicer cord fell onto knees and ended up on back
Injury or illness
Bilateral knee contusions low back strain
Object or substance involved
Slicer cord
Summary line
Low back strain and bilateral knee contusions cord
Employee and industry
- Job description
- Food Service Clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 145
- Total hours worked
- 198199
- EIN
- 550421484
- Establishment ID
- 1293444
- Employer case #
- C-78607
When (timing detail)
- Date of incident
- Shift started
- 13:00
- Time of incident
- 20:45
- Filing year
- 2024
- Submitted
- 05MAR2025:14:34:00
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.