WOODBRIDGE, VA —
OSHA Injury Report: 0626 POTOMAC MILLS VA WHSE
Injury · Days away from work
At a glance
On , an injury at 0626 POTOMAC MILLS VA WHSE in WOODBRIDGE, VA 22192 resulted in days away from work. Employee was tIRE INSTALLER in wholesale Grocer.
Where did this happen?
- Establishment
- 0626 POTOMAC MILLS VA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2700 POTOMAC MILLS CIRCLE
- City
- WOODBRIDGE
- State
- VA
- ZIP
- 22192
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
Lifting tire and wheel assembly onto tire mounter
What happened
Employee was removing tire from wheel tire bar slipped from hand and hit employee in mouth and two teeth came out
Injury or illness
Dental Teeth Right and Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Dental Teeth Right and Left Side Hand Tool Tool Equipment Unclassified
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 256
- Total hours worked
- 381890
- EIN
- 911223280
- Establishment ID
- 1378556
- Employer case #
- WC80DG7834
When (timing detail)
- Date of incident
- Shift started
- 8:45
- Time of incident
- 11:00
- Filing year
- 2024
- Submitted
- 28FEB2025:21:42:00
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.