FORT PAYNE, AL —
OSHA Injury Report: 503 FC FORT PAYNE AL
Injury · Days away from work
At a glance
On , an injury at 503 FC FORT PAYNE AL in FORT PAYNE, AL 359674903 resulted in days away from work. Employee was food Serv Shift Lead Over in supermarket.
Where did this happen?
- Establishment
- 503 FC FORT PAYNE AL
- Parent company
- K VA T Food Stores Inc.
- Street
- 1015 GAULT AVE SOUTH
- City
- FORT PAYNE
- State
- AL
- ZIP
- 359674903
- On-site location
- Deli Prep
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
Before the incident
carrying pans to dishwasher
What happened
s f on wet floor
Injury or illness
head contusion
Object or substance involved
wet floor
Summary line
head contusion wet floor s f on wet floor
Employee and industry
- Job description
- Food Serv Shift Lead Over
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 108
- Total hours worked
- 168859
- EIN
- 550421484
- Establishment ID
- 1293425
- Employer case #
- 83287
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 20:40
- Filing year
- 2025
- Submitted
- 16JAN26:21:04:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.