Johnson City, TN —
OSHA Injury Report: 029-00367
Injury · Other recordable case
At a glance
On , an injury at 029-00367 in Johnson City, TN 37604 resulted in other recordable case. Employee was fuel Clerks in supermarkets and Other Grocery Except Convenience Stores.
Where did this happen?
- Establishment
- 029-00367
- Parent company
- Kroger Mid Atlantic KMA
- Street
- 1805 W State Of Franklin Rd
- City
- Johnson City
- State
- TN
- ZIP
- 37604
- On-site location
- FUEL CENTER KIOSK
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
SITTING IN CHAIR
What happened
EE tried to get up from chair EE foot was caught in between chair and EE fell EE sustained laceration to the top right side of head and elbow was bruised Which side of elbow is unknown EE was taken by ambulance to ER
Injury or illness
Lacerated Anterior Face Fall FLOOR
Object or substance involved
FLOOR
Summary line
Lacerated Anterior Face Fall FLOOR
Employee and industry
- Job description
- Fuel Clerks
- SOC code
- 53-7065 — Stockers and Order Fillers
- NAICS code
- 445110 — Supermarkets and Other Grocery Except Convenience Stores
- NAICS vintage
- 2022
- Avg employees
- 123
- Total hours worked
- 169137
- EIN
- 311569568
- Establishment ID
- 965241
- Employer case #
- 853557
When (timing detail)
- Date of incident
- Shift started
- 5:00:00.000
- Time of incident
- 8:30:00.000
- Submitted
- 28FEB24:18:52:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.