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 Nr	Date Opened	SIC	NAICS	Establishment Name
1414046.015	07/09/2019		337127	Golden 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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