Accident Report Detail

Accident Summary Nr: 101401.015 - Employee fractures shoulder in fall from truck

Accident Summary Nr: 101401.015 -- Report ID: 0950621 -- Event Date: 09/18/2017
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1282244.015	12/11/2017		423310	Srs Distribution, Inc.

Abstract: At 6:45 p.m. on September 18, 2017, Employee #1 was delivering roofing supplies to a jobsite. Employee #1 was loading individual sheets of OSB onto a mobile truck conveyor when he lost his footing, and fell off of the edge of the truck. Employee #1 fell approximately 55 inches to the concrete slab and fractured his left shoulder. He was hospitalized for his injury.

Keywords: Concrete Slab, Fall, Fracture, Lost Balance, Shoulder, Struck Against, Truck

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1282244.015	49	M	Hospitalized injury		Diver

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