Mira Loma, CA ·
OSHA Injury Report: 1321 MIRA LOMA CA ANNEX ECOMMERCE
Injury · Job transfer or restriction
At a glance
On , an injury at 1321 MIRA LOMA CA ANNEX ECOMMERCE in 11280 RIVERSIDE DRIVE SUITE A, Mira Loma, CA 91752 resulted in job transfer or restriction. Employee was equip machine oper in general Warehousing and Storage.
Where did this happen?
- Establishment
- 1321 MIRA LOMA CA ANNEX ECOMMERCE
- Parent company
- COSTCO WHOLESALE
- Street
- 11280 RIVERSIDE DRIVE SUITE A
- City
- Mira Loma
- State
- CA
- ZIP
- 91752
- On-site location
- E COMMERCE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 20
Before the incident
PACKING IN VAS
What happened
EE WAS LIFTING A BOX OFF A PALLET AND DIDN 'T BEND DOWN TO DO IT AND FELT PULLING IN LOWER RIGHT BACK
Injury or illness
Strain Sprain Back Lower Right Side
Object or substance involved
Merchandise
Summary line
Strain Sprain Back Lower Right Side Lifting Merchandise
Employee and industry
- Job description
- EQUIP MACHINE OPER
- SOC code
- 9999: Uncoded
- NAICS code
- 493110: General Warehousing and Storage
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 564
- Hours worked at this establishment (2024 total)
- 855,797
- EIN
- 911223280
- Establishment ID
- 1378860
- Employer case #
- WC608H5480
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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