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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 mGR DEPT 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
BAKERY

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
47
Days restricted or transferred
6

Before the incident

working

What happened

[REDACTED] was on a ladder inside of Bakery Freezer hurting his right shoulder and RT side of back

Injury or illness

Bruise or Contusion Shoulder Right Side

Object or substance involved

Ladder Stepstool

Summary line

Bruise or Contusion Shoulder Right Side Fall from ladder stepstool Ladder Stepstool

Employee and industry

Job description
MGR DEPT
SOC code
41-1012 — First-Line Supervisors of Non-Retail Sales Workers
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
418
Total hours worked
601992
EIN
911223280
Establishment ID
1217901
Employer case #
WC80DG3240

When (timing detail)

Date of incident
Shift started
12:00:00.000
Time of incident
18:35:00.000
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.