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 assistant Director of Dining Services 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
- Bar lounge
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Washing a wine glass
What happened
The wine glass shattered
Injury or illness
Laceration of left thumb
Object or substance involved
Wine glass
Summary line
laceration of left thumb. Broken glass
Employee and industry
- Job description
- Assistant Director of Dining Services
- SOC code
- 11-9051 — Food Service Managers
- 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 #
- 5
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 13:05:00.000
- Submitted
- 28FEB24:20:11:00
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.