KNOXVILLE, TN —
OSHA Injury Report: 1116 FARRAGUT TN WHSE
Injury · Days away from work
At a glance
On , an injury at 1116 FARRAGUT TN WHSE in KNOXVILLE, TN 37934 resulted in days away from work. Employee was mGR ASST DEPT in wholesale Grocer.
Where did this happen?
- Establishment
- 1116 FARRAGUT TN WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 10745 KINGSTON PIKE
- City
- KNOXVILLE
- State
- TN
- ZIP
- 37934
- On-site location
- OUTSIDE PARKING LOT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 139
Before the incident
Walking in parking lot crossing drive
What happened
EE is a salary exempt manager Was leaving walking across parking lot and hit by a car crossing drive
Injury or illness
Fracture Shoulder Left Side
Object or substance involved
Member Vehicle
Summary line
Fracture Shoulder Left Side Motor Vehicle Accident Member Vehicle
Employee and industry
- Job description
- MGR ASST DEPT
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 352
- Total hours worked
- 525963
- EIN
- 911223280
- Establishment ID
- 1378761
- Employer case #
- WC80DH310
When (timing detail)
- Date of incident
- Shift started
- 8:45
- Time of incident
- 17:50
- Filing year
- 2025
- Submitted
- 28FEB26:00:32:00
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.