Fairfax, VA —
OSHA Injury Report: 10223 Fair Lakes
Injury · Other recordable case
At a glance
On , an injury at 10223 Fair Lakes in Fairfax, VA 22033 resulted in other recordable case. Employee was s Prep Foods Service Team Member.
Where did this happen?
- Establishment
- 10223 Fair Lakes
- Street
- 4501 Market Commons Drive
- City
- Fairfax
- State
- VA
- ZIP
- 22033
- On-site location
- Prepared Foods Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
transferring product from one place to another in BOH
What happened
EE states walking to table slipped and fell L knee bent in landed on L knee buttocks causing pain to knee and low upper back.
Injury or illness
Strain Sprain Knee
Object or substance involved
Human Action
Summary line
EE states walking to table slipped and fell L knee bent in landed on L knee buttocks causing pain to knee and low upper back.
Employee and industry
- Job description
- S Prep Foods Service Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2012
- Avg employees
- 284
- Total hours worked
- 390965
- EIN
- 521711175
- Establishment ID
- 715394
- Employer case #
- 0005772148
When (timing detail)
- Date of incident
- Shift started
- 5:50
- Time of incident
- 12:00
- Filing year
- 2024
- Submitted
- 01MAR2025:21:55:00
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.