Knoxville, TN —
OSHA Injury Report: TN-KNOXV03 &04
Injury · Days away from work
At a glance
On , an injury at TN-KNOXV03 &04 in Knoxville, TN 37922 resulted in days away from work. Employee was uS Manager Store in supermarkets and Other Grocery Retailers except Convenience Retailers.
Where did this happen?
- Establishment
- TN-KNOXV03 &04
- Parent company
- Gordon Food Service Store LLC TN-KNOXV03 &04
- Street
- 9312 Kingston Pike
- City
- Knoxville
- State
- TN
- ZIP
- 37922
- On-site location
- store
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 33
- Days restricted or transferred
- 122
Before the incident
Employee was separating orders and when lifting a box approximately 40lbs he felt a pop in his left shoulder.
What happened
EE states that he was in the back of the store separating orders and when lifting a box approximately 40lbs he felt a pop in his left shoulder. EE is right hand dominant Supervisor is not aware of the injury
Injury or illness
Sprain Strain
Object or substance involved
box
Summary line
EE states that he was in the back of the store separating orders and when lifting a box approximately 40lbs he felt a pop in his left shoulder. EE is right hand dominant Supervisor is not aware of the injury
Employee and industry
- Job description
- US Manager Store
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarkets and Other Grocery Retailers except Convenience Retailers
- NAICS vintage
- 2022
- Avg employees
- 27
- Total hours worked
- 36076
- EIN
- 161675916
- Establishment ID
- 1501298
- Employer case #
- 29140
When (timing detail)
- Date of incident
- Shift started
- 0:00
- Time of incident
- 7:30
- Filing year
- 2025
- Submitted
- 01MAR26:19:29:00
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.