WOODBRIDGE, VA —
OSHA Injury Report: 0626 - POTOMAC MILLS VA
Injury · Other recordable case
At a glance
On , an injury at 0626 - POTOMAC MILLS VA in WOODBRIDGE, VA 63011 resulted in other recordable case. Employee was sUP HOURLY 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
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Fixing a flat tire
What happened
While inflating a tire on a tire mounter when the bead set something hit the employee s eye
Injury or illness
Abrasion irritation Eye Left Side
Object or substance involved
Tire Changer
Summary line
Abrasion irritation Eye Left Side Explosion Tire Changer
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 246
- Total hours worked
- 363397
- EIN
- 911223280
- Establishment ID
- 1217539
- Employer case #
- WC80DG0483
When (timing detail)
- Date of incident
- Shift started
- 11:00:00.000
- Time of incident
- 16:00:00.000
- 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.