JONESBOROUGH, TN —
OSHA Injury Report: 640 FC JONESBOROUGH TN
Injury · Days away from work
At a glance
On , an injury at 640 FC JONESBOROUGH TN in JONESBOROUGH, TN 376591510 resulted in days away from work. Employee was pro Fresh Pack Coor Ovr in supermarket.
Where did this happen?
- Establishment
- 640 FC JONESBOROUGH TN
- Parent company
- K VA T Food Stores Inc.
- Street
- 500 FOREST DRIVE
- City
- JONESBOROUGH
- State
- TN
- ZIP
- 376591510
- On-site location
- Produce Prep
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 55
- Days restricted or transferred
- 28
Before the incident
walking in produce prep
What happened
Slipped & fell on knee now having pain in knee
Injury or illness
R knee contusion
Object or substance involved
water
Summary line
R knee contusion water Slipped & fell on knee now having pain in knee
Employee and industry
- Job description
- Pro Fresh Pack Coor Ovr
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 104
- Total hours worked
- 151588
- EIN
- 550421484
- Establishment ID
- 1293454
- Employer case #
- 82262
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 9:30
- 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.