South Dyersburg, TN —
OSHA Injury Report: Store 6607
Injury · Other recordable case
At a glance
On , an injury at Store 6607 in South Dyersburg, TN 38024 resulted in other recordable case. Employee was host in gasoline Station with convenience store.
Where did this happen?
- Establishment
- Store 6607
- Parent company
- D and H Company
- Street
- 801 S Main Ave
- City
- South Dyersburg
- State
- TN
- ZIP
- 38024
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Slicing potatoes
What happened
EE heard a pop in her shoulder while slicing potatoes
Injury or illness
Torn muscle
Object or substance involved
Motion
Summary line
EE claims she heard a pop in her shoulder while slicing potatoes
Employee and industry
- Job description
- Host
- SOC code
- 35-9031 — Hosts and Hostesses, Restaurant, Lounge, and Coffee Shop
- NAICS code
- 447110 — Gasoline Station with convenience store
- NAICS vintage
- 2017
- Avg employees
- 15
- Total hours worked
- 30326
- EIN
- 640297943
- Establishment ID
- 1099295
- Employer case #
- WC2023-030
When (timing detail)
- Date of incident
- Submitted
- 14FEB24:18:30:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.