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 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
- Avg employees
- 565
- Total hours worked
- 871880
- 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
- 28FEB26:00:32:00
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.