Fairfax, VA ·
OSHA Injury Report: The Providence of Fairfax
Injury · Days away from work
At a glance
On , an injury at The Providence of Fairfax in 9490 Sprague Avenue, Fairfax, VA 22031 resulted in days away from work. Employee was cook in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- The Providence of Fairfax
- Parent company
- The Providence of Fairfax
- Street
- 9490 Sprague Avenue
- City
- Fairfax
- State
- VA
- ZIP
- 22031
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 3
Before the incident
Employee was reaching for the deli white board
What happened
The metal colander fell off the rack and hit the employee in the mouth
Injury or illness
Mouth and two broken front teeth
Object or substance involved
Metal Colander
Summary line
Mouth and two front teeth struck by a metal colander
Employee and industry
- Job description
- Cook
- SOC code
- 35-2013: Cooks, Private Household
- NAICS code
- 623312: Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 130
- Hours worked at this establishment (2025 total)
- 208,199
- EIN
- 852065611
- Establishment ID
- 1184329
- Employer case #
- 11
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 10:33
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-28
More injuries at The Providence of Fairfax
View The Providence of Fairfax's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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