Accident Report Detail

Accident Summary Nr: 136671.015 - Employee breaks leg while operating pallet jack on wet floor

Accident Summary Nr: 136671.015 -- Report ID: 0111500 -- Event Date: 06/28/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1538933.015	06/29/2021		452311	Costco Wholesale Corporation

Abstract: At 9:17 a.m. on June 28, 2021, Employee #1 was operating a Raymond pallet jack carrying a load of pallets in a grocery store. While making a turn on a damp, wet floor, the employee struck a chicken rotisserie warmer located between the meat and chicken departments. Employee #1 sustained a broken leg and multiple fractures and was hospitalized for treatment.

Keywords: Broken Bone, Floor, Flooring , Fracture, Leg, Pallet, Pallet Jack, Pit, Slippery Surface, Wet

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1538933.015	41	M	Hospitalized injury		Supervisors, material moving equipment operators

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