TranslateAccident Report Detail
Accident Summary Nr: 121334.015 - Supervisor Is Injured By Falling Load From Forklift
| 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 p roviding rack and pallet installations, was working with crew members at a wareh ouse and installing a multi-level rack system. The supervisor was giving direc tions as rack frame components were lifted on the forks of a forklift. He was s tanding 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 o n the head and shoulder. The supervisor was transported to the hospital and adm itted for treatment of head, shoulder, and upper back injuries. He remained hos pitalized for several weeks.
| End Use | Project Type | Project Cost | Stories | Non-building Height | Fatality | ||
|---|---|---|---|---|---|---|---|
| Commercial building | New project or new addition | 1 | 15 | ||||
| Employee # | Inspection Nr | Age | Sex | Degree | 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: |