JOHNSON CITY, TN ·
OSHA Injury Report: 629 FC JOHNSON CITY TN STATE OF FRA
Injury · Days away from work
At a glance
On , an injury at 629 FC JOHNSON CITY TN STATE OF FRA in 920 NORTH STATE OF FRANKLIN ROAD, JOHNSON CITY, TN 376043668 resulted in days away from work. Employee was front End Manager Over in supermarket.
Where did this happen?
- Establishment
- 629 FC JOHNSON CITY TN STATE OF FRA
- Parent company
- K VA T Food Stores Inc.
- Street
- 920 NORTH STATE OF FRANKLIN ROAD
- City
- JOHNSON CITY
- State
- TN
- ZIP
- 376043668
- On-site location
- Sidewalk
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
getting out of car
What happened
Fell on ice in Gas N Go parking lot L shoulder pain
Injury or illness
Tear L rotator cuff and biceps tendon
Object or substance involved
slick pavement
Summary line
Tear L rotator cuff and biceps tendon slick pavement Fell on ice in Gas N Go parking lot L shoulder pain
Employee and industry
- Job description
- Front End Manager Over
- SOC code
- 41-1011: First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110: Supermarket
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 142
- Hours worked at this establishment (2025 total)
- 200,373
- EIN
- 550421484
- Establishment ID
- 1293449
- Employer case #
- 79531
When (timing detail)
- Date of incident
- Shift started
- 05:45
- Time of incident
- 05:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-01-16
More injuries at 629 FC Johnson City TN State of FRA
View 629 FC Johnson City TN State of FRA's full OSHA safety record →
More injuries in this industry (NAICS 445110)
More injuries in TN
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.