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PACOIMA, CA —

OSHA Injury Report: 1071 PACOIMA CA WHSE

Injury · Days away from work

At a glance

On , an injury at 1071 PACOIMA CA WHSE in 13550 WEST PAXTON STREET, PACOIMA, CA 91331 resulted in days away from work. Employee was fORKLIFT DRIVER in wholesale Grocer.

Where did this happen?

Establishment
1071 PACOIMA CA WHSE
Parent company
COSTCO WHOLESALE
Street
13550 WEST PAXTON STREET
City
PACOIMA
State
CA
ZIP
91331
On-site location
RECEIVING

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
111
Days restricted or transferred
69

Before the incident

Driving a forklift

What happened

Employee claims he is feeling pain in left shoulder as a result of repetative motion while driving a forklift

Injury or illness

Strain Sprain Shoulder Left Side

Object or substance involved

Forklift

Summary line

Strain Sprain Shoulder Left Side Repetitive Motion Forklift

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
387
Total hours worked
589926
EIN
911223280
Establishment ID
1378733
Employer case #
WC608G9273

When (timing detail)

Date of incident
Shift started
4:15
Filing year
2024
Submitted
28FEB2025:21:43:00

More injuries at 1071 PACOIMA CA WHSE

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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.