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
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 157
- Days restricted or transferred
- 23
Before the incident
Wrapping pallets
What happened
The employee was wrapping pallets and was struck by an electric pallet jack
Injury or illness
Bruise or Contusion Back Lower Right and Left Side
Object or substance involved
Pallet Jack Electric
Summary line
Bruise or Contusion Back Lower Right and Left Side Struck by a Moving Object Pallet Jack Electric
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 #
- WC608H759
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 13:10
- 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.