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 tIRE INSTALLER 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
- 30
Before the incident
mounting tires
What happened
employee while mounting tires used ring to help pop up tire and hit him on his face cheek
Injury or illness
Inflammation swelling Face
Object or substance involved
Tire Changer
Summary line
Inflammation swelling Face Holding or Carrying Tire Changer
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
- 414
- Total hours worked
- 607962
- EIN
- 911223280
- Establishment ID
- 1217972
- Employer case #
- WC80DG2289
When (timing detail)
- Date of incident
- Shift started
- 10:00:00.000
- Time of incident
- 11:40:00.000
- 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.