Fairfax, VA —
OSHA Injury Report: The Providence of Fairfax
Injury · Other recordable case
At a glance
On , an injury at The Providence of Fairfax in Fairfax, VA 22031 resulted in other recordable case. Employee was server 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
- Lounge area
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Leaving the lounge area.
What happened
She slipped on the floor.
Injury or illness
Left knee pain.
Object or substance involved
Wet floor
Summary line
Left knee slipped in the hallway as leaving the lounge.
Employee and industry
- Job description
- Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 110
- Total hours worked
- 149977
- EIN
- 852065611
- Establishment ID
- 1184329
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 16:00:00.000
- Time of incident
- 20:08:00.000
- Submitted
- 28FEB24:19:37:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.