Mira Loma, CA —
OSHA Injury Report: 1032 Mira Loma
Injury · Other recordable case
At a glance
On , an injury at 1032 Mira Loma in Mira Loma, CA 91752 resulted in other recordable case. Employee was mens Lead in department Stores.
Where did this happen?
- Establishment
- 1032 Mira Loma
- Parent company
- Kohls Department Stores
- Street
- 12315 Limonite Ave
- City
- Mira Loma
- State
- CA
- ZIP
- 91752
- On-site location
- StockroomDock
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Fixture Display Assembly
What happened
[REDACTED] dropped a wooden shelf on her left foot
Injury or illness
All Other Specific Injuries NOC - Lower Extremities - Foot
Object or substance involved
Fixture Display
Summary line
[REDACTED] dropped a wooden shelf on her left foot
Employee and industry
- Job description
- Mens Lead
- SOC code
- 9999 — Uncoded
- NAICS code
- 452210 — Department Stores
- NAICS vintage
- 2017
- Avg employees
- 82
- Total hours worked
- 92160
- EIN
- 133357362
- Establishment ID
- 1111772
- Employer case #
- K-23-08438
When (timing detail)
- Date of incident
- Time of incident
- 0:00:00.000
- Submitted
- 20FEB24:17:17:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.