MORENO VALLEY, CA —
OSHA Injury Report: 0455 - MORENO VALLEY CA
Injury · Job transfer or restriction
At a glance
On , an injury at 0455 - MORENO VALLEY CA in MORENO VALLEY, CA 92081 resulted in job transfer or restriction. Employee was fOOD SERVICE 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
- Food Court
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 18
Before the incident
Loading screens onto rack
What happened
Tried to catch tipping rack and fell tro ground onto left shoulder
Injury or illness
Bruise or Contusion Shoulder Left Side
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Shoulder Left Side Fall from Same Level Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 371
- Total hours worked
- 550171
- EIN
- 911223280
- Establishment ID
- 1217254
- Employer case #
- WC608G2965
When (timing detail)
- Date of incident
- Shift started
- 17:00:00.000
- Time of incident
- 18:45:00.000
- 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.