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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: 0626 - POTOMAC MILLS VA

Injury · Other recordable case

On , an injury at 0626 - POTOMAC MILLS VA in WOODBRIDGE, VA 63011 resulted in other recordable case. Employee was fOOD SERVICE in wholesale Grocer.

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
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Roller to make pizza skins

Over the past few months while working pizza skins constantly caused shoulder pain

Inflammation swelling Shoulder Right Side

Pizza Press

Inflammation swelling Shoulder Right Side Repetitive Motion Pizza Press

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 #
WC80DG3293
Date of incident
Time of incident
21:00:00.000
Submitted
04MAR24:19:36:00

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.