MORENO VALLEY, CA —
OSHA Injury Report: 0455 MORENO VALLEY CA WHSE
Injury · Job transfer or restriction
At a glance
On , an injury at 0455 MORENO VALLEY CA WHSE in MORENO VALLEY, CA 92553 resulted in job transfer or restriction. 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
- TIRE SHOP
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
changing a tire
What happened
I was pulling a tire hub cap off a car and fell back on to my back
Injury or illness
Strain Sprain Back Upper
Object or substance involved
Tire
Summary line
Strain Sprain Back Upper Right and Left Side Pulling Tire
Employee and industry
- Job description
- SUP HOURLY
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 367
- Total hours worked
- 549427
- EIN
- 911223280
- Establishment ID
- 1378513
- Employer case #
- WC608P133
When (timing detail)
- Date of incident
- Time of incident
- 18:12
- Filing year
- 2025
- Submitted
- 28FEB26:00:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.