Accident Report Detail

Accident Summary Nr: 110689.015 - Employee is killed when struck by forklift truck

Accident Summary Nr: 110689.015 -- Report ID: 0418200 -- Event Date: 11/01/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1357666.015	11/02/2018		236220	Tds Construction, Inc.

Abstract: At 11:00 a.m. on November 1, 2018, Employee #1 was operating a forklift truck (Mitsubishi Model FG25N Serial Number AF17E00429) used for transporting construction debris and waste materials. Employee #1 drove the forklift loaded with construction material from the second level to the basement level (Receiving Docks) of the parking lot. The construction waste materials were being dumped into a metal dumpster located on the North wall of the basement level. Employee #1 extended the forklift's mast fully and proceeded to dump some construction materials into the dumpster. Then, as the forklift was reversing away from the dumpster with the mast still fully extended, Employee #1 steered the rear towards its right side. The backrest (installed on the mast) struck an overhead fire main pipe from the sprinkler system. The impact caused the forklift to tipover on its right side. While the forklift was falling sideways, Employee #1 jumped towards the right side onto the pavement. The forklift's overhead guard pinned down Employee #1 against the parking lot deck. Employee #1 was killed from crushing injuries to the upper chest and neck area.

Keywords: Powered Industrial Vehicle, Roll-Over, Struck Against, Struck By

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		Alteration or rehabilitation			3		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1357666.015	45	M	Fatality		Laborers, except construction	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Site clearing and grubbing Fatality Cause:

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