FAIRFAX, VA —
OSHA Injury Report: 0204 FAIRFAX VA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0204 FAIRFAX VA WHSE in FAIRFAX, VA 22030 resulted in job transfer or restriction. Employee was mEMBER SERVICE 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
- MAINTENANCE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
employee was standing near the maintenance room and she got hit with a demo cart
What happened
employee was standing near the door of the CDS office and employe returning from her shift hit her with the cart
Injury or illness
Bruise or Contusion Back Lower Right and Left Side
Object or substance involved
Foreign Body
Summary line
Bruise or Contusion Back Lower Right and Left Side Foreign Body Foreign Body
Employee and industry
- Job description
- MEMBER SERVICE
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 435
- Total hours worked
- 613065
- EIN
- 911223280
- Establishment ID
- 1378364
- Employer case #
- WC80DH151
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 16:35
- 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.