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 sUP HOURLY 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
- 30
Before the incident
working on the computer
What happened
Forklift driver bumped a sofa pallet in the top steel causing it to fall from the top steel striking the employee
Injury or illness
Bruise or Contusion Face Right and Left Side
Object or substance involved
Forklift
Summary line
Bruise or Contusion Face Right and Left Side Struck Against a Fixed Object Forklift
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 41-1011 — First-Line Supervisors of Retail Sales Workers
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 379
- Total hours worked
- 550512
- EIN
- 911223280
- Establishment ID
- 1378513
- Employer case #
- WC608H5255
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 12:42
- 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.