Madisonville, TN —
OSHA Injury Report: STORE 087
Injury · Other recordable case
At a glance
On , an injury at STORE 087 in Madisonville, TN 37354 resulted in other recordable case. Employee was deli Associate in retail Food Markets.
Where did this happen?
- Establishment
- STORE 087
- Parent company
- Ingles Markets Inc.
- Street
- 4629 US 411 Tellico St
- City
- Madisonville
- State
- TN
- ZIP
- 37354
- On-site location
- Deli
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking
What happened
Tripped over floor machine
Injury or illness
Floor machine
Object or substance involved
Contusion-Bruise-Lower Extremities - Lower Leg
Summary line
EE was coming out of Deli Dept to use restroom tripped over floor machine or rack. Fell on left leg.
Employee and industry
- Job description
- Deli Associate
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 445110 — Retail Food Markets
- NAICS vintage
- 2022
- Avg employees
- 59
- Total hours worked
- 77609
- EIN
- 560846267
- Establishment ID
- 1167179
- Employer case #
- IM11053530
When (timing detail)
- Date of incident
- Shift started
- 6:58:00.000
- Time of incident
- 10:05:00.000
- Submitted
- 04MAR24:17:55:00
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.