MIRA LOMA, CA —
OSHA Injury Report: 0961 MIRA LOMA CA WET DEPOT
Injury · Days away from work
At a glance
On , an injury at 0961 MIRA LOMA CA WET DEPOT in MIRA LOMA, CA 91752 resulted in days away from work. Employee was mAINTENANCE ASST in refrigerated Warehousing & Storage.
Where did this happen?
- Establishment
- 0961 MIRA LOMA CA WET DEPOT
- Parent company
- COSTCO WHOLESALE
- Street
- 11600 RIVERSIDE DRIVE
- City
- MIRA LOMA
- State
- CA
- ZIP
- 91752
- On-site location
- RESTROOMS
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
Cleaning the mirrior in the ladies restroom
What happened
The [REDACTED] was cleaning the ladies restroom and tripped over a fan which caused her to fall
Injury or illness
Strain Sprain Shoulder Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Strain Sprain Shoulder Left Side Fall from Same Level Tool Equipment Unclassified
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 493120 — Refrigerated Warehousing & Storage
- NAICS vintage
- 2022
- Avg employees
- 358
- Total hours worked
- 579252
- EIN
- 911223280
- Establishment ID
- 1524698
- Employer case #
- WC608H640
When (timing detail)
- Date of incident
- Time of incident
- 8:18
- Filing year
- 2025
- Submitted
- 28FEB26:01:06:00
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.