POTOMAC, MD · 2025-05-22

OSHA Injury Report: 00373 PARK POTOMAC

Injury · Days away from work

At a glance

On 2025-05-22, an injury at 00373 PARK POTOMAC in 12525 PARK POTOMAC AVE, POTOMAC, MD 20854 resulted in days away from work. Industry: Supermarkets and Other Grocery (except Convenience) Stores.

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Where did this happen?

Establishment: 00373 PARK POTOMAC
Parent company: Harris Teeter Supermarkets, Inc. PARK POTOMAC
Street: 12525 PARK POTOMAC AVE
City: POTOMAC
State: MD
ZIP: 20854
On-site location: BREAKROOM

What was the outcome?

Outcome: Days away from work (code 2)
Type: Injury (code 1)
Days away from work: 96
Days restricted or transferred: 84

Before the incident

COMING OUT OF BREAKROOM

What happened

EE WAS COMING OUT OF BREAKROOM AND FELL TO THE GROUND EE HURT HER LEFT SIDE OF HER BODY AND COULD NOT GET UP ANOTHER EE FOUND HER ON GROUND EE COULD NOT HELP HER UP AND CALLED 911 EMS CAME AND TRANSPORTED EE TO ER

Injury or illness

Fracture Left Upper arm Fall FLOOR

Object or substance involved

FLOOR

Summary line

EE WAS COMING OUT OF BREAKROOM AND FELL TO THE GROUND EE HURT HER LEFT SIDE OF HER BODY AND COULD N

Employee and industry

SOC code: 00-9900: Insufficient Information - NIOSH
NAICS code: 445110: Supermarkets and Other Grocery (except Convenience) Stores
NAICS vintage: 2022
Employees at this establishment (2025 average): 124
Hours worked at this establishment (2025 total): 177,216
EIN: 561390087
Establishment ID: 1522475
Employer case #: 13808

When (timing detail)

Date of incident: 2025-05-22
Shift started: 12:30
Time of incident: 18:08
Filing year: 2025
Submitted to OSHA: 2026-03-02

More injuries at 00373 Park Potomac

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View 00373 Park Potomac'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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