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 eQUIP MACHINE OPER 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
- SHIPPING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
Before the incident
Employee was loading a freezer trailer with his electric forklift
What happened
Employee was loading a freezer trailer with his forklift when he felt sharp pains in his lower back hip shoulder
Injury or illness
Strain Sprain Back Lower Left Side
Object or substance involved
Forklift
Summary line
Strain Sprain Back Lower Left Side Jarring Bouncing Forklift
Employee and industry
- Job description
- EQUIP MACHINE OPER
- SOC code
- 51-9199 — Production Workers, All Other
- NAICS code
- 493120 — Refrigerated Warehousing & Storage
- NAICS vintage
- 2022
- Avg employees
- 358
- Total hours worked
- 579252
- EIN
- 911223280
- Establishment ID
- 1524698
- Employer case #
- WC608H693
When (timing detail)
- Date of incident
- Shift started
- 5:00
- Time of incident
- 6:00
- 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.