TAZEWELL, TN —
OSHA Injury Report: 645 FC TAZEWELL TN
Injury · Days away from work
At a glance
On , an injury at 645 FC TAZEWELL TN in TAZEWELL, TN 378794350 resulted in days away from work. Employee was courtesy Clk Over in supermarket.
Where did this happen?
- Establishment
- 645 FC TAZEWELL TN
- Parent company
- K VA T Food Stores Inc.
- Street
- 1410 NORTH BROAD STREET
- City
- TAZEWELL
- State
- TN
- ZIP
- 378794350
- On-site location
- Register 4&5
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
Before the incident
working register
What happened
Retrieving a small item that got stuck in the register belt & felt shoulder pop
Injury or illness
L shoulder strain
Object or substance involved
pull stuck item
Summary line
L shoulder strain pull stuck item Retrieving a small item that got stuck in the register belt & felt shoulder pop
Employee and industry
- Job description
- Courtesy Clk Over
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 113
- Total hours worked
- 163037
- EIN
- 550421484
- Establishment ID
- 1293458
- Employer case #
- 82401
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 14:16
- 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.