ROGERSVILLE, TN —
OSHA Injury Report: 612 FC ROGERSVILLE TN
Injury · Days away from work
At a glance
On , an injury at 612 FC ROGERSVILLE TN in ROGERSVILLE, TN 378576922 resulted in days away from work. Employee was asst Produce Mgr Over in supermarket.
Where did this happen?
- Establishment
- 612 FC ROGERSVILLE TN
- Parent company
- K VA T Food Stores Inc.
- Street
- 1287 EAST MAIN STREET
- City
- ROGERSVILLE
- State
- TN
- ZIP
- 378576922
- On-site location
- Produce Prep
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 6
Before the incident
moving a stock cart
What happened
Moving stock cart R foot got hung in cart fell backward onto R buttock and hit head
Injury or illness
Contusions back of head and R buttock
Object or substance involved
stock cart
Summary line
Contusions back of head and R buttock stock cart Moving stock cart R foot got hung in cart fell backwards onto R buttock hit head
Employee and industry
- Job description
- Asst Produce Mgr Over
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 137
- Total hours worked
- 183996
- EIN
- 550421484
- Establishment ID
- 1293438
- Employer case #
- 79784
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 7:20
- 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.