COOKEVILLE, TN —
OSHA Injury Report: 683 FC COOKEVILLE TN
Injury · Days away from work
At a glance
On , an injury at 683 FC COOKEVILLE TN in COOKEVILLE, TN 385010000 resulted in days away from work. Employee was food Service Clerk Over in supermarket.
Where did this happen?
- Establishment
- 683 FC COOKEVILLE TN
- Parent company
- K VA T Food Stores Inc.
- Street
- 1545 EAST 10TH STREET
- City
- COOKEVILLE
- State
- TN
- ZIP
- 385010000
- On-site location
- Deli freezer
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
getting chicken from freezer
What happened
Plastic wrap got tangled around leg causing fall onto R arm
Injury or illness
R arm fracture
Object or substance involved
plastic wrap
Summary line
R arm fracture plastic wrap Plastic wrap got tangled around leg causing fall onto R arm
Employee and industry
- Job description
- Food Service Clerk Over
- SOC code
- 35-2014 — Cooks, Restaurant
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 128
- Total hours worked
- 179507
- EIN
- 550421484
- Establishment ID
- 1293490
- Employer case #
- 80539
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 11:45
- 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.