Johnson City, TN —
OSHA Injury Report: Foodservice Johnson City - 0565
Injury · Days away from work
At a glance
On , an injury at Foodservice Johnson City - 0565 in Johnson City, TN 37601 resulted in days away from work. Employee was driver Salaried Formula.
Where did this happen?
- Establishment
- Foodservice Johnson City - 0565
- Street
- 2722 South Roan Street
- City
- Johnson City
- State
- TN
- ZIP
- 37601
- On-site location
- Independence Elementary School Sidewalk
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 161
- Days restricted or transferred
- 19
Before the incident
Fall Slip On Ice or Snow
What happened
Driver stepped off sidewalk and slipped on ice landing on his shoulder and hip Has pain in shoulder
Injury or illness
Cause Fall Slip or Trip Injury Body Part Shoulder s Body Part Position Detail Cause Fall Slip On Ice or Snow
Object or substance involved
Walking Working Surface Uneven Surface not ramp
Summary line
Cause Fall Slip or Trip Injury Body Part Shoulder s Body Part Position Detail Cause Fall Slip On Ice or Snow
Employee and industry
- Job description
- Driver Salaried Formula
- SOC code
- 53-3033 — Light Truck Drivers
- NAICS code
- 424420
- NAICS vintage
- 2012
- Avg employees
- 222
- Total hours worked
- 460028
- EIN
- 202120709
- Establishment ID
- 722571
- Employer case #
- 1201WC250
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 11:00
- Filing year
- 2025
- Submitted
- 25FEB26:04:17:00
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.