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 mAINTENANCE ASST 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 SEATING AREA
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
Before the incident
CLEANING
What happened
WHILE MOVING FC TABLES AT CLOSING 1 TABLE TOP CAME LOOSE AND HIT PHILIP ON HIS RIGHT EYEBROW
Injury or illness
Laceration Forehead
Object or substance involved
Foreign Body
Summary line
Laceration Forehead Pushing Foreign Body
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 246
- Total hours worked
- 363397
- EIN
- 911223280
- Establishment ID
- 1217539
- Employer case #
- WC80DG0274
When (timing detail)
- Date of incident
- Shift started
- 18:30:00.000
- Time of incident
- 21:52:00.000
- 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.