GAITHERSBURG, MD —
OSHA Injury Report: 0213 - GAITHERSBURG MD
Injury · Days away from work
At a glance
On , an injury at 0213 - GAITHERSBURG MD in GAITHERSBURG, MD 10805 resulted in days away from work. Employee was mGR STAFF in wholesale Grocer.
Where did this happen?
- Establishment
- 0213 - GAITHERSBURG MD
- Parent company
- Costco Wholesale
- Street
- 880 RUSSELL AVENUE
- City
- GAITHERSBURG
- State
- MD
- ZIP
- 10805
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 131
Before the incident
Locking tire shop doors
What happened
While locking up tire shop roll up doors her foot got tangled in a robe that was laying down and felt on the ground
Injury or illness
Fracture Nose Right and Left Side
Object or substance involved
Floor Walking Surface
Summary line
Fracture Nose Right and Left Side Fall from Different Level Floor Walking Surface
Employee and industry
- Job description
- MGR STAFF
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 414
- Total hours worked
- 607962
- EIN
- 911223280
- Establishment ID
- 1217972
- Employer case #
- WC80DG3161
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Time of incident
- 20:40:00.000
- Submitted
- 04MAR24:19:31:00
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.