JOHNSON CITY, TN —
OSHA Injury Report: 629 FC JOHNSON CITY TN STATE OF FRA
Injury · Other recordable case
At a glance
On , an injury at 629 FC JOHNSON CITY TN STATE OF FRA in JOHNSON CITY, TN 376043668 resulted in other recordable case. Employee was perishable Mgr 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
- Dairy
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
working up order
What happened
Sat down took a drink and passed out.
Injury or illness
cut above left eye w stitches; head contusion
Object or substance involved
floor
Summary line
cut above left eye w stitches; head contusion floor passed out
Employee and industry
- Job description
- Perishable Mgr Over
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 142
- Total hours worked
- 200373
- EIN
- 550421484
- Establishment ID
- 1293449
- Employer case #
- 81447
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 10:20
- Filing year
- 2025
- Submitted
- 16JAN26:21:04:00
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.