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Accident Report Detail

Accident Summary Nr: 117792.015 - Employee incurs concussion in fall from unsecure platform

Accident Summary Nr: 117792.015 -- Report ID: 0950635 -- Event Date: 06/01/2019
Inspection NrDate OpenedSICNAICSEstablishment Name
1414046.01507/09/2019337127Golden Mattress

Abstract: At 1:15 p.m. on June 1, 2019, an employee was using a forklift with attached platform elevated in order to attach a machine cord to an electrical supply located near the ceiling. The platform was not secured to the forklift and it slipped off the forks causing the employee to fall approximately 15 feet to the floor. The platform then fell onto the causing further injury. The employee suffered a concussion, fractured ribs and lacerations requiring medical treatment. The employee was not hospitalized.

Keywords: Blunt force, Blunt force trauma, Chest, Concussion, Elevated Work Plat, Elevated Work Platform, Fall, Fall Protection, Falling Object, Forklift, Fracture, Head, Hoist, Hoisting Mechanism, Industrial Truck, Installing, Laceration, Lost Balance, Malfunction, Material Handling, Platform, Powered Industrial Vehicle, Raised platform, Rib, Unsecured

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation
1 1414046.015 62 M Non Hospitalized injury Laborers, except construction

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