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 scanning Deputy Over 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
- Aisle 9
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 16
Before the incident
getting back stock down
What happened
Trying to get back stock down on aisle 9 missed step on stool & fell
Injury or illness
Displaced fx of head of right radius; Right shoulder and knee contusion; Left knee contusion.
Object or substance involved
missed step
Summary line
Displaced fx of head of right radius; Right shoulder and knee contusion; Left knee contusion. missed step Trying to get back stock down on aisle 9 missed step & fell
Employee and industry
- Job description
- Scanning Deputy Over
- SOC code
- 41-2011 — Cashiers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 104
- Total hours worked
- 151588
- EIN
- 550421484
- Establishment ID
- 1293454
- Employer case #
- 83237
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 5:28
- 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.