Inspection Detail

Case Status: CLOSED

Inspection: 1074953.015 - K-Va-T Food Stores, Inc.

Inspection Information - Office: Tennessee Osha Knoxville Office - Safety

Inspection Nr: 1074953.015

Report ID: 0454714

Date Opened: 06/24/2015

Site Address:
K-Va-T Food Stores, Inc.
11503 Champman Hwy
Seymour, TN 37865

Mailing Address:
1 Food City Circle, Abingdon, VA 24210

Union Status: NonUnion

SIC:

NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/24/2015

Emphasis: S:Fall

Case Closed: 08/07/2015

Related Activity
Type	Activity Nr	Safety	Health
Accident	997674

Case Status: CLOSED

Investigation Summary

Investigation Nr: 77796.015

Event: 03/17/2015

Employee falls on floor and dies from injuries

At 9:45 p.m. on March 17, 2015, an employee was walking though the kitchen and fell onto both knees onto the concrete floor. The employee died from unspecified injuries.

Keywords: Fall, Knee, Walking Surface

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1074953.015	61	F	Fatality

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