FAIRFAX, VA —
OSHA Injury Report: 0204 - FAIRFAX VA
Injury · Days away from work
At a glance
On , an injury at 0204 - FAIRFAX VA in FAIRFAX, VA 22202 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 0204 - FAIRFAX VA
- Parent company
- Costco Wholesale
- Street
- 4725 WEST OX ROAD
- City
- FAIRFAX
- State
- VA
- ZIP
- 22202
- On-site location
- FOOD COURT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 256
- Days restricted or transferred
- 6
Before the incident
Grabbing the boxes from the cooler
What happened
Employee was grabbing a box of dough there where two boxes of ice cream fell one her shoulder the floor was dry
Injury or illness
Bruise or Contusion Shoulder Left Side
Object or substance involved
Food Court Yogurt Machine
Summary line
Bruise or Contusion Shoulder Left Side Reaching Food Court Yogurt Machine
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 418
- Total hours worked
- 601992
- EIN
- 911223280
- Establishment ID
- 1217901
- Employer case #
- WC80DG1368
When (timing detail)
- Date of incident
- Time of incident
- 18:40:00.000
- Submitted
- 04MAR24:19:30:00
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.