WOODBRIDGE, VA —
OSHA Injury Report: 0626 POTOMAC MILLS VA WHSE
Injury · Other recordable case
At a glance
On , an injury at 0626 POTOMAC MILLS VA WHSE in WOODBRIDGE, VA 22192 resulted in other recordable case. Employee was sUP HOURLY 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Lifting tire and wheel assembly onto mounter
What happened
Employee was removing a run flat tire from a wheel tire bar slipped from hand and hit employee in face
Injury or illness
Bruise or Contusion Mouth Right Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Bruise or Contusion Mouth Right Side Object Handled Tool Equipment Unclassified
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 256
- Total hours worked
- 381890
- EIN
- 911223280
- Establishment ID
- 1378556
- Employer case #
- WC80DG7963
When (timing detail)
- Date of incident
- Shift started
- 8:45
- Time of incident
- 12:45
- 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.