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 asst Produce Mgr 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
- Lot
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 50
Before the incident
getting out of car
What happened
Stepping out of truck stepped onto black ice & fell breaking ankle
Injury or illness
R ankle fracture
Object or substance involved
ice
Summary line
R ankle fracture ice Stepping out of truck stepped onto black ice & fell breaking ankle
Employee and industry
- Job description
- Asst Produce Mgr Over
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 113
- Total hours worked
- 163037
- EIN
- 550421484
- Establishment ID
- 1293458
- Employer case #
- 82844
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 8:00
- 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.