KIMBALL, TN —
OSHA Injury Report: 691 FC KIMBALL TN
Injury · Days away from work
At a glance
On , an injury at 691 FC KIMBALL TN in KIMBALL, TN 373475219 resulted in days away from work. Employee was front End Manager Over in supermarket.
Where did this happen?
- Establishment
- 691 FC KIMBALL TN
- Parent company
- K VA T Food Stores Inc.
- Street
- 570 MAIN STREET
- City
- KIMBALL
- State
- TN
- ZIP
- 373475219
- On-site location
- Customer Service
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
walking out of customer service
What happened
Walking out of customer service tripped on zip tie in floor & fell
Injury or illness
Bilateral elbow and knee contusions
Object or substance involved
zip tie in floor
Summary line
Bilateral elbow and knee contusions zip tie in floor Walking out of customer service tripped on zip tie in floor & fell
Employee and industry
- Job description
- Front End Manager Over
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 109
- Total hours worked
- 166884
- EIN
- 550421484
- Establishment ID
- 1293496
- Employer case #
- 80195
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 14:50
- 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.