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 376155036 resulted in days away from work. Employee was cook Over 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
- 376155036
- On-site location
- Front End
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
- Days restricted or transferred
- 22
Before the incident
getting bag of ice
What happened
Helping a customer with a bag of ice & felt sharp pain in back
Injury or illness
Middle back strain
Object or substance involved
bag of ice
Summary line
Middle back strain bag of ice Helping a customer with a bag of ice & felt sharp pain in back
Employee and industry
- Job description
- Cook Over
- SOC code
- 35-2021 — Food Preparation Workers
- NAICS code
- 445110 — Supermarket
- NAICS vintage
- 2022
- Avg employees
- 89
- Total hours worked
- 123808
- EIN
- 550421484
- Establishment ID
- 1293455
- Employer case #
- 82601
When (timing detail)
- Date of incident
- Shift started
- 9:00
- Time of incident
- 12:30
- Filing year
- 2025
- Submitted
- 16JAN26:21:04:00
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JOHNSON CITY, TN—
641 FC JOHNSON CITY TN NORTH ROAN S
JOHNSON CITY, TN—
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 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.