CHANTILLY, VA —
OSHA Injury Report: 0334 - CHANTILLY VA
Injury · Days away from work
At a glance
On , an injury at 0334 - CHANTILLY VA in CHANTILLY, VA 98516 resulted in days away from work. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 0334 - CHANTILLY VA
- Parent company
- Costco Wholesale
- Street
- 14390 Chantilly Crossing Ln
- City
- CHANTILLY
- State
- VA
- ZIP
- 98516
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 71
Before the incident
separating pallets
What happened
EE tripped on a broken piece of wood fell backward and hurt ankle and wrist
Injury or illness
Strain Sprain Ankle Left Side
Object or substance involved
Pallet
Summary line
Strain Sprain Ankle Left Side Stepped In On or Off Pallet
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 312
- Total hours worked
- 462759
- EIN
- 911223280
- Establishment ID
- 1217046
- Employer case #
- WC80DG1687
When (timing detail)
- Date of incident
- Time of incident
- 12:15:00.000
- Submitted
- 04MAR24:19:32:00
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.