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Safety Incidents OSHA Severe Injury Reports · 2015–2025

ARLINGTON, VA —

OSHA Injury Report: 0233 PENTAGON CITY VA WHSE

Injury · Days away from work

At a glance

On , an injury at 0233 PENTAGON CITY VA WHSE in 1200 SOUTH FERN STREET, ARLINGTON, VA 22202 resulted in days away from work. Employee was sERVICE DELI CLERK in wholesale Grocer.

Where did this happen?

Establishment
0233 PENTAGON CITY VA WHSE
Parent company
COSTCO WHOLESALE
Street
1200 SOUTH FERN STREET
City
ARLINGTON
State
VA
ZIP
22202
On-site location
SERVICE DELI

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
21

Before the incident

Preparing food

What happened

Employee [REDACTED] reaching for recipe binder and sllipped and fell injuring her right arm and back

Injury or illness

Strain Sprain Arm Right Side

Object or substance involved

Floor Walking Surface

Summary line

Strain Sprain Arm Right Side Fall from Same Level Floor Walking Surface

Employee and industry

Job description
SERVICE DELI CLERK
SOC code
35-3023 — Fast Food and Counter Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
363
Total hours worked
550174
EIN
911223280
Establishment ID
1378377
Employer case #
WC80DG7887

When (timing detail)

Date of incident
Shift started
15:00
Time of incident
18:55
Filing year
2024
Submitted
28FEB2025:21:40:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.