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Safety Incidents OSHA Severe Injury Reports · 2015–2025

MORENO VALLEY, CA —

OSHA Injury Report: 0455 MORENO VALLEY CA WHSE

Injury · Days away from work

At a glance

On , an injury at 0455 MORENO VALLEY CA WHSE in 12700 DAY STREET, MORENO VALLEY, CA 92553 resulted in days away from work. Employee was fORKLIFT DRIVER in wholesale Grocer.

Where did this happen?

Establishment
0455 MORENO VALLEY CA WHSE
Parent company
COSTCO WHOLESALE
Street
12700 DAY STREET
City
MORENO VALLEY
State
CA
ZIP
92553
On-site location
RECEIVING

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
180

Before the incident

JUMPING UP FOR THE ROLLUP DOOR

What happened

CUMULATIVE TRAUMA INJURY

Injury or illness

Strain Sprain Shoulder Right and Left Side

Object or substance involved

Tool Equipment Unclassified

Summary line

Strain Sprain Shoulder Right and Left Side Fall from Different Level Tool Equipment Unclassified

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
379
Total hours worked
550512
EIN
911223280
Establishment ID
1378513
Employer case #
WC608H4925

When (timing detail)

Date of incident
Shift started
14:00
Time of incident
14:05
Filing year
2024
Submitted
28FEB2025:21:41:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.