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 food Serv Shift Lead 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
- Deli Prep
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
cleaning floors
What happened
Cleaning the floor it was soapy & wet went to grab something & fell
Injury or illness
lower back contusion
Object or substance involved
wet floor
Summary line
lower back contusion wet floor Cleaning the floor it was soapy & wet went to grab something & fell
Employee and industry
- Job description
- Food Serv Shift Lead Over
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 142
- Total hours worked
- 200373
- EIN
- 550421484
- Establishment ID
- 1293449
- Employer case #
- 82995
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 19:30
- 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.