Accident Report Detail

Accident Summary Nr: 111764.015 - Employee is struck by forklift and fractures pelvis

Accident Summary Nr: 111764.015 -- Report ID: 0523400 -- Event Date: 12/04/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1365682.015	12/12/2018		333249	Sussex Im, Inc.

Abstract: At 8:45 a.m. on December 4, 2018, an employee was walking with a hand truck when he was struck by a forklift, fracturing his pelvis. The employee was hospitalized.

Keywords: Forklift, Fracture, Pelvis, Powered Industrial Vehicle, Struck By

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1365682.015	50	M	Hospitalized injury		Laborers, except construction

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