WOODBRIDGE, VA —
OSHA Injury Report: 0626 - POTOMAC MILLS VA
Injury · Days away from work
At a glance
On , an injury at 0626 - POTOMAC MILLS VA in WOODBRIDGE, VA 63011 resulted in days away from work. Employee was cAKE DECORATOR in wholesale Grocer.
Where did this happen?
- Establishment
- 0626 - POTOMAC MILLS VA
- Parent company
- Costco Wholesale
- Street
- 2700 POTOMAC MILLS CIRCLE
- City
- WOODBRIDGE
- State
- VA
- ZIP
- 63011
- On-site location
- WALK IN COOLER
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 85
Before the incident
DECORATING CAKES
What happened
SLIPPED AND FELL FORWARD INURING RT ARM TO BRACE HR FALL TO THE CONCRETE SLIP AND FALL
Injury or illness
Strain Sprain Arm
Object or substance involved
Rack
Summary line
Strain Sprain Arm Twisted Rack
Employee and industry
- Job description
- CAKE DECORATOR
- SOC code
- 51-3092 — Food Batchmakers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 246
- Total hours worked
- 363397
- EIN
- 911223280
- Establishment ID
- 1217539
- Employer case #
- WC80DG1739
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 13:00:00.000
- Submitted
- 04MAR24:19:36:00
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.