CLINTON, TN —
OSHA Injury Report: 654 FC CLINTON TN
Injury · Other recordable case
At a glance
On , an injury at 654 FC CLINTON TN in CLINTON, TN 377162723 resulted in other recordable case. Employee was cook Over in supermarket.
Where did this happen?
- Establishment
- 654 FC CLINTON TN
- Parent company
- K VA T Food Stores Inc.
- Street
- 507 SOUTH CHARLES G SEVIERS BOULEVA
- City
- CLINTON
- State
- TN
- ZIP
- 377162723
- On-site location
- Deli Prep
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
picking up chicken box
What happened
Picking up box of chicken and felt pop in R shoulder
Injury or illness
right shoulder strain
Object or substance involved
box of chicken
Summary line
right shoulder strain box of chicken Picking up box of chicken and felt pop in R shoulder
Employee and industry
- Job description
- Cook Over
- SOC code
- 35-2021 — Food Preparation Workers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 135
- Total hours worked
- 186014
- EIN
- 550421484
- Establishment ID
- 1293465
- Employer case #
- 80465
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 16:00
- 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.