Accident Report Detail

Accident Summary Nr: 135369.015 - Employee sustains multiple fractures in fall from forklift

Accident Summary Nr: 135369.015 -- Report ID: 0751910 -- Event Date: 04/01/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1523384.015	04/05/2021		323111	American Games

Abstract: At 1:30 p.m. on April 1, 2021, an employee was picking product off a metal storage shelf using a Raymond reach forklift, he was not wearing fall protection. He ascended approximately 30 feet, reached out approximately four feet, and fell from the truck plate form to the floor. He was hospitalized for treatment of a fractured tailbone, fractured rib, and laceration to his face.

Keywords: Face, Fall From Elevation, Fall Protection, Forklift, Fracture, Ind Trk Operator, Laceration, Material Handling, Reaching, Rib, Tailbone

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1523384.015	24	M	Hospitalized injury		Sales workers, other commodities

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