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GAITHERSBURG, MD —

OSHA Injury Report: 0213 - GAITHERSBURG MD

Injury · Days away from work

At a glance

On , an injury at 0213 - GAITHERSBURG MD in 880 RUSSELL AVENUE, GAITHERSBURG, MD 10805 resulted in days away from work. Employee was fORKLIFT DRIVER in wholesale Grocer.

Where did this happen?

Establishment
0213 - GAITHERSBURG MD
Parent company
Costco Wholesale
Street
880 RUSSELL AVENUE
City
GAITHERSBURG
State
MD
ZIP
10805
On-site location
PRODUCE

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
212

Before the incident

Lifting

What happened

When lifting a pallet he injured the tendon in his left arm

Injury or illness

Strain Sprain Arm Left Side

Object or substance involved

Pallet

Summary line

Strain Sprain Arm Left Side Lifting Pallet

Employee and industry

Job description
FORKLIFT DRIVER
SOC code
53-7051 — Industrial Truck and Tractor Operators
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
414
Total hours worked
607962
EIN
911223280
Establishment ID
1217972
Employer case #
WC80DG1660

When (timing detail)

Date of incident
Shift started
3:00:00.000
Time of incident
9:05:00.000
Submitted
04MAR24:19:31:00

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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.