WOODBRIDGE, VA —
OSHA Injury Report: 0626 POTOMAC MILLS VA WHSE
Injury · Other recordable case
At a glance
On , an injury at 0626 POTOMAC MILLS VA WHSE in WOODBRIDGE, VA 22192 resulted in other recordable case. Employee was sUP HOURLY in wholesale Grocer.
Where did this happen?
- Establishment
- 0626 POTOMAC MILLS VA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 2700 POTOMAC MILLS CIRCLE
- City
- WOODBRIDGE
- State
- VA
- ZIP
- 22192
- On-site location
- BAKERY
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
reaching for pie
What happened
reaching for pies in the cooler on middle rack I was on tip toes stretching and stretched my shoulder
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Tray
Summary line
Strain Sprain Shoulder Right Side Reaching [REDACTED]
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 264
- Total hours worked
- 397448
- EIN
- 911223280
- Establishment ID
- 1378556
- Employer case #
- WC80DP096
When (timing detail)
- Date of incident
- Shift started
- 7:30
- Time of incident
- 14:00
- 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.