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 tIRE INSTALLER 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
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
working in the tire center
What happened
A co worker accidently hit thetire mount arm and cause to swing and hit the employee left side head
Injury or illness
Concussion Head Left Side
Object or substance involved
Tire
Summary line
Concussion Head Left Side Caught In or Between Tire
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 435
- Total hours worked
- 613065
- EIN
- 911223280
- Establishment ID
- 1378364
- Employer case #
- WC80DP143
When (timing detail)
- Date of incident
- Shift started
- 7:45
- Time of incident
- 16:15
- 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.