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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Mira Loma, CA —

OSHA Injury Report: 1321 MIRA LOMA CA ANNEX ECOMMERCE

Injury · Days away from work

At a glance

On , an injury at 1321 MIRA LOMA CA ANNEX ECOMMERCE in 11280 RIVERSIDE DRIVE SUITE A, Mira Loma, CA 91752 resulted in days away from work. Employee was eQUIP MACHINE OPER in general Warehousing & Storage.

Where did this happen?

Establishment
1321 MIRA LOMA CA ANNEX ECOMMERCE
Parent company
COSTCO WHOLESALE
Street
11280 RIVERSIDE DRIVE SUITE A
City
Mira Loma
State
CA
ZIP
91752
On-site location
E COMMERCE

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
155
Days restricted or transferred
25

Before the incident

WORKING IN BCA

What happened

EE WAS LIFTING A BOX AND HEARD LEFT UPPER BICEP POP

Injury or illness

Dislocation Arm Left Side

Object or substance involved

Merchandise

Summary line

Dislocation Arm Left Side Lifting Merchandise

Employee and industry

Job description
EQUIP MACHINE OPER
SOC code
51-9199 — Production Workers, All Other
NAICS code
493110 — General Warehousing & Storage
NAICS vintage
2022
Avg employees
565
Total hours worked
871880
EIN
911223280
Establishment ID
1378860
Employer case #
WC608H575

When (timing detail)

Date of incident
Shift started
13:15
Time of incident
14:30
Filing year
2025
Submitted
28FEB26:00:32:00

More injuries at 1321 MIRA LOMA CA ANNEX ECOMMERCE

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.