Accident Report Detail

Accident Summary Nr: 100959.015 - Employee falls off of forklift and fractures hip

Accident Summary Nr: 100959.015 -- Report ID: 0317500 -- Event Date: 11/02/2017
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1278934.015	11/06/2017		493110	Sam Levin, Inc.

Abstract: At 10:10 p.m. on November 2, 2017, an employee was operating a Crown Model # TR3600-200 forklift in the warehouse. The employee turned into the main aisle and fell off the forklift, fracturing his hip. The employee was hospitalized.

Keywords: Falling Object, Fracture, Hip, Powered Industrial Vehicle, Struck By

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1278934.015	49	M	Hospitalized injury		Diver

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.