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 tIRE INSTALLER 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
- Tire Center Bathroom
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 117
Before the incident
He was in the bathroom
What happened
I was in the bathroom when I got up my knee popped and I fell down I opened the door and called for help
Injury or illness
Dislocation Knee Left Side
Object or substance involved
Tire
Summary line
Dislocation Knee Left Side Twisted Tire
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093 — Tire Repairers and Changers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 418
- Total hours worked
- 601992
- EIN
- 911223280
- Establishment ID
- 1217901
- Employer case #
- WC80DG0138
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 10:00:00.000
- 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.