FAIRFAX, VA —
OSHA Injury Report: 0204 FAIRFAX VA WHSE
Injury · Days away from work
At a glance
On , an injury at 0204 FAIRFAX VA WHSE in FAIRFAX, VA 22030 resulted in days away from work. Employee was sERVICE DELI CLERK 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
- SERVICE DELI
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 6
Before the incident
Deli Prep
What happened
EE stepped on a trench drain from Deli floor floor wet and slipped and fell
Injury or illness
Bruise or Contusion Back Lower
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Back Lower Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- SERVICE DELI CLERK
- SOC code
- 35-3023 — Fast Food and Counter Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 435
- Total hours worked
- 613065
- EIN
- 911223280
- Establishment ID
- 1378364
- Employer case #
- WC80DP064
When (timing detail)
- Date of incident
- Shift started
- 16:00
- Time of incident
- 18:50
- 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.