MIRA LOMA, CA —
OSHA Injury Report: 0960 MIRA LOMA CA DRY DEPOT
Injury · Days away from work
At a glance
On , an injury at 0960 MIRA LOMA CA DRY DEPOT 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
- 0960 MIRA LOMA CA DRY DEPOT
- Parent company
- COSTCO WHOLESALE
- Street
- 11600 RIVERSIDE DRIVE
- City
- MIRA LOMA
- State
- CA
- ZIP
- 91752
- On-site location
- Imports
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 167
Before the incident
Pushing a pallet
What happened
EE reported he was moving empty pallets and hyperextended his left forearm
Injury or illness
Strain Sprain Forearms Left Side
Object or substance involved
Pallet
Summary line
Strain Sprain Forearms Left Side Pushing Pallet
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
- 1090
- Total hours worked
- 1931862
- EIN
- 911223280
- Establishment ID
- 1524697
- Employer case #
- WC608P041
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 4:45
- 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.