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 fOOD SERVICE 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
- FOOD COURT
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 8
- Days restricted or transferred
- 7
Before the incident
Cleaning
What happened
Tripped in open drain and fell on left arm
Injury or illness
Strain Sprain Arm Left Side
Object or substance involved
Floor Walking Surface
Summary line
Strain Sprain Arm Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 246
- Total hours worked
- 363397
- EIN
- 911223280
- Establishment ID
- 1217539
- Employer case #
- WC80DG1936
When (timing detail)
- Date of incident
- Shift started
- 14:59:00.000
- Time of incident
- 18:48:00.000
- 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.