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 377092416 resulted in job transfer or restriction. Employee was scanning Deputy Over 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
- 377092416
- On-site location
- Stockroom
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 19
Before the incident
walking down the stairs
What happened
Walking down the stairs with signs & twisted ankle
Injury or illness
L ankle sprain
Object or substance involved
walk down stairs
Summary line
L ankle sprain walk down stairs Walking down the stairs with signs & twisted ankle
Employee and industry
- Job description
- Scanning Deputy Over
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 170
- Total hours worked
- 223482
- EIN
- 550421484
- Establishment ID
- 1293444
- Employer case #
- 81354
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 6:30
- 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.