SEYMOUR, TN —
OSHA Injury Report: 644 FC SEYMOUR TN
Injury · Days away from work
At a glance
On , an injury at 644 FC SEYMOUR TN in SEYMOUR, TN 378655045 resulted in days away from work. Employee was starbucks Barista Over in supermarket.
Where did this happen?
- Establishment
- 644 FC SEYMOUR TN
- Parent company
- K VA T Food Stores Inc.
- Street
- 11503 CHAPMAN HWY
- City
- SEYMOUR
- State
- TN
- ZIP
- 378655045
- On-site location
- Starbucks
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 40
Before the incident
working at ice machine
What happened
Top door facing of ice machine fall off & hit her in the arm
Injury or illness
R upper arm contusion
Object or substance involved
door facing
Summary line
R upper arm contusion door facing Top door facing of ice machine fall off & hit her in the arm
Employee and industry
- Job description
- Starbucks Barista Over
- SOC code
- 35-2021 — Food Preparation Workers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 147
- Total hours worked
- 213716
- EIN
- 550421484
- Establishment ID
- 1293457
- Employer case #
- 82967
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 16:30
- 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.