MORENO VALLEY, CA —
OSHA Injury Report: 0455 MORENO VALLEY CA WHSE
Injury · Days away from work
At a glance
On , an injury at 0455 MORENO VALLEY CA WHSE in MORENO VALLEY, CA 92553 resulted in days away from work. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 0455 MORENO VALLEY CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 12700 DAY STREET
- City
- MORENO VALLEY
- State
- CA
- ZIP
- 92553
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
JUMPING UP FOR THE ROLLUP DOOR
What happened
CUMULATIVE TRAUMA INJURY
Injury or illness
Strain Sprain Shoulder Right and Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Shoulder Right and Left Side Fall from Different Level Tool Equipment Unclassified
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
- 379
- Total hours worked
- 550512
- EIN
- 911223280
- Establishment ID
- 1378513
- Employer case #
- WC608H4925
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 14:05
- Filing year
- 2024
- Submitted
- 28FEB2025:21:41:00
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.