Mira Loma, CA ·
OSHA Injury Report: 1321 MIRA LOMA CA ANNEX ECOMMERCE
Injury · Days away from work
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 days away from work. Employee was equip machine oper in general Warehousing & 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
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 155
- Days restricted or transferred
- 25
Before the incident
WORKING IN BCA
What happened
EE WAS LIFTING A BOX AND HEARD LEFT UPPER BICEP POP
Injury or illness
Dislocation Arm Left Side
Object or substance involved
Merchandise
Summary line
Dislocation Arm Left Side Lifting Merchandise
Employee and industry
- Job description
- EQUIP MACHINE OPER
- SOC code
- 51-9199: Production Workers, All Other
- NAICS code
- 493110: General Warehousing & Storage
- NAICS vintage
- 2022
- Employees at this establishment (2025 average)
- 565
- Hours worked at this establishment (2025 total)
- 871,880
- EIN
- 911223280
- Establishment ID
- 1378860
- Employer case #
- WC608H575
When (timing detail)
- Date of incident
- Shift started
- 13:15
- Time of incident
- 14:30
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-28
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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