Accident Report Detail

Accident Summary Nr: 101146.015 - Employee is injured in fall from mobile ladder stand

Accident Summary Nr: 101146.015 -- Report ID: 0522000 -- Event Date: 11/28/2017
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1280290.015	12/01/2017		452111	Kohls, Inc.

Abstract: At 11:15 a.m. on November 28, 2017, Employee #1 was working from a mobile ladder stand to clear a jam on an overhead conveyor. The employee fell off of the ladder stand, striking a concrete floor, and sustained a fractured hip, ribs, and a head contusion. Employee #1 was hospitalized and received treatment for his injuries.

Keywords: Contusion, Conveyor, Fall, Fracture, Head, Hip, Ladder, Rib

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1280290.015	30	F	Hospitalized injury		Laborers, except construction

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