MORENO VALLEY, CA —
OSHA Injury Report: 0455 - MORENO VALLEY CA
Injury · Days away from work
At a glance
On , an injury at 0455 - MORENO VALLEY CA in MORENO VALLEY, CA 92081 resulted in days away from work. Employee was fORKLIFT DRIVER in wholesale Grocer.
Where did this happen?
- Establishment
- 0455 - MORENO VALLEY CA
- Parent company
- Costco Wholesale
- Street
- 12700 DAY STREET
- City
- MORENO VALLEY
- State
- CA
- ZIP
- 92081
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 109
Before the incident
closing the truck door
What happened
Jumped to reach truck door foot stuck beween dock plate fell on right shoulder
Injury or illness
Strain Sprain Shoulder Right Side
Object or substance involved
Door Roll up Door
Summary line
Strain Sprain Shoulder Right Side Caught In or Between Door Roll up Door
Employee and industry
- Job description
- FORKLIFT DRIVER
- SOC code
- 53-7051 — Industrial Truck and Tractor Operators
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 371
- Total hours worked
- 550171
- EIN
- 911223280
- Establishment ID
- 1217254
- Employer case #
- WC608G7090
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 13:45:00.000
- Submitted
- 04MAR24:19:34:00
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.