FAIRFAX, VA —
OSHA Injury Report: 0204 FAIRFAX VA WHSE
Injury · Other recordable case
At a glance
On , an injury at 0204 FAIRFAX VA WHSE in FAIRFAX, VA 22030 resulted in other recordable case. Employee was sALES in wholesale Grocer.
Where did this happen?
- Establishment
- 0204 FAIRFAX VA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 4725 WEST OX ROAD
- City
- FAIRFAX
- State
- VA
- ZIP
- 22030
- On-site location
- Sales Hardlines
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
stocking
What happened
The employee was stocking TV s and tripped on the strap from the TV pallet and hit right elbow hip
Injury or illness
Inflammation swelling Elbow Right Side
Object or substance involved
Pallet
Summary line
Inflammation swelling Elbow Right Side Caught In or Between [REDACTED]
Employee and industry
- Job description
- SALES
- SOC code
- 41-2031 — Retail Salespersons
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 435
- Total hours worked
- 613065
- EIN
- 911223280
- Establishment ID
- 1378364
- Employer case #
- WC80DP109
When (timing detail)
- Date of incident
- Shift started
- 3:30
- Time of incident
- 7:45
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
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.