PACOIMA, CA —
OSHA Injury Report: 1071 PACOIMA CA WHSE
Injury · Days away from work
At a glance
On , an injury at 1071 PACOIMA CA WHSE in PACOIMA, CA 91331 resulted in days away from work. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 1071 PACOIMA CA WHSE
- Parent company
- COSTCO WHOLESALE
- Street
- 13550 WEST PAXTON STREET
- City
- PACOIMA
- State
- CA
- ZIP
- 91331
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 111
- Days restricted or transferred
- 69
Before the incident
Driving a forklift
What happened
Employee claims he is feeling pain in left shoulder as a result of repetative motion while driving a forklift
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Forklift
Summary line
Strain Sprain Shoulder Left Side Repetitive Motion Forklift
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
- 387
- Total hours worked
- 589926
- EIN
- 911223280
- Establishment ID
- 1378733
- Employer case #
- WC608G9273
When (timing detail)
- Date of incident
- Shift started
- 4:15
- Filing year
- 2024
- Submitted
- 28FEB2025:21:43:00
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.