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Safety Incidents OSHA Severe Injury Reports · 2015–2025

FAIRFAX, VA —

OSHA Injury Report: 0204 - FAIRFAX VA

Injury · Days away from work

At a glance

On , an injury at 0204 - FAIRFAX VA in 4725 WEST OX ROAD, FAIRFAX, VA 22202 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.

Where did this happen?

Establishment
0204 - FAIRFAX VA
Parent company
Costco Wholesale
Street
4725 WEST OX ROAD
City
FAIRFAX
State
VA
ZIP
22202
On-site location
FOOD COURT

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
256
Days restricted or transferred
6

Before the incident

Grabbing the boxes from the cooler

What happened

Employee was grabbing a box of dough there where two boxes of ice cream fell one her shoulder the floor was dry

Injury or illness

Bruise or Contusion Shoulder Left Side

Object or substance involved

Food Court Yogurt Machine

Summary line

Bruise or Contusion Shoulder Left Side Reaching Food Court Yogurt Machine

Employee and industry

Job description
FOOD SERVICE
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
418
Total hours worked
601992
EIN
911223280
Establishment ID
1217901
Employer case #
WC80DG1368

When (timing detail)

Date of incident
Time of incident
18:40:00.000
Submitted
04MAR24:19:30:00

More injuries at 0204 - FAIRFAX VA

View 0204 - FAIRFAX VA's full OSHA safety record →

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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.