JOHNSON CITY, TN —
OSHA Injury Report: 641 FC JOHNSON CITY TN NORTH ROAN S
Injury · Days away from work
At a glance
On , an injury at 641 FC JOHNSON CITY TN NORTH ROAN S in 4307 NORTH ROAN STREET, JOHNSON CITY, TN 37615 resulted in days away from work. Employee was food Service Clerk in supermarket.
Where did this happen?
- Establishment
- 641 FC JOHNSON CITY TN NORTH ROAN S
- Parent company
- K VA T Food Stores Inc
- Street
- 4307 NORTH ROAN STREET
- City
- JOHNSON CITY
- State
- TN
- ZIP
- 37615
- On-site location
- Deli services
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
Deep cleaning deli service area
What happened
Started having pain in R shoulder after going home.
Injury or illness
R shoulder strain
Object or substance involved
Repetitive motion of cleaning
Summary line
R shoulder strain repetitive motion cleaning
Employee and industry
- Job description
- Food Service Clerk
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 101
- Total hours worked
- 141622
- EIN
- 550421484
- Establishment ID
- 1293455
- Employer case #
- C-5747
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 23:00
- Filing year
- 2024
- Submitted
- 03MAR2025:15:06:00
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641 FC JOHNSON CITY TN NORTH ROAN S
View 641 FC JOHNSON CITY TN NORTH ROAN S's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.