Accident Report Detail

Accident Summary Nr: 121334.015 - Supervisor is injured by falling load from forklift

Accident Summary Nr: 121334.015 -- Report ID: 0627500 -- Event Date: 05/11/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1402059.015	05/13/2019		238290	New Millennium System Installations

Abstract: At 3:15 p.m. on May 11, 2019, Employee #1, a supervisor employed by a company providing rack and pallet installations, was working with crew members at a warehouse and installing a multi-level rack system. The supervisor was giving directions as rack frame components were lifted on the forks of a forklift. He was standing beneath the elevated load when one of the forks and load components fell from the lift, an estimated fall height of 15 feet, and struck the supervisor on the head and shoulder. The supervisor was transported to the hospital and admitted for treatment of head, shoulder, and upper back injuries. He remained hospitalized for several weeks.

Keywords: Back, Blunt force trauma, Construction, Falling Object, Forklift, Forks, Head, Installing, Shoulder, Spine, Storage Rack, Struck By

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition			1	15

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1402059.015	35	M	Hospitalized injury		Supervisors; handlers,equip-cleaners,laborers nec	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Temporary work (buildings, facilities) Fatality Cause:

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