Fairfax, VA —
OSHA Injury Report: 10223 Fair Lakes
Injury · Other recordable case
At a glance
On , an injury at 10223 Fair Lakes in Fairfax, VA 22033 resulted in other recordable case. Employee was s Bakery Service Team Member.
Where did this happen?
- Establishment
- 10223 Fair Lakes
- Street
- 4501 Market Commons Drive
- City
- Fairfax
- State
- VA
- ZIP
- 22033
- On-site location
- Bakery
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE STATES RETURNING ITEMS TO FREEZER WHILE IN THE FREEZER BOX FELL HITTING HER HEAD FELT CLICK IN R SHOULDER ELBOW CAUSING PAIN
What happened
[REDACTED] On Falling [REDACTED]
Injury or illness
Strain Sprain
Object or substance involved
Box barrel container
Summary line
Team Member lost balance while reaching for a box on top shelf. Fell and box hit head.
Employee and industry
- Job description
- S Bakery Service Team Member
- SOC code
- 9999 — Uncoded
- NAICS code
- 445110
- NAICS vintage
- 2022
- Avg employees
- 285
- Total hours worked
- 388904
- EIN
- 521711175
- Establishment ID
- 715394
- Employer case #
- 0005772065
When (timing detail)
- Date of incident
- Shift started
- 14:02:00.000
- Time of incident
- 20:15:00.000
- Submitted
- 28FEB24:22:34:00
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.