FAIRFAX, VA —
OSHA Injury Report: Unit #0192
Injury · Other recordable case
At a glance
On , an injury at Unit #0192 in FAIRFAX, VA 22033 resulted in other recordable case. Employee was omni Associate in retail.
Where did this happen?
- Establishment
- Unit #0192
- Parent company
- PENNEY OPCO LLC
- Street
- 11801 FAIR OAKS MALL
- City
- FAIRFAX
- State
- VA
- ZIP
- 22033
- On-site location
- Sales floor
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Working in Store
What happened
EE fell at work in the break room tripped and fall fell on her right side.
Injury or illness
Fall On the Same Level
Object or substance involved
uneven surface
Summary line
EE fell at work in the break room tripped and fall fell on her right side.
Employee and industry
- Job description
- Omni Associate
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 452112 — Retail
- NAICS vintage
- 2012
- Avg employees
- 65
- Total hours worked
- 73792
- EIN
- 853718114
- Establishment ID
- 454370
- Employer case #
- 0192-2525
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 12:00
- Filing year
- 2025
- Submitted
- 17FEB26:18:56:00
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.