Accident Report Detail

Accident Summary Nr: 131077.015 - Employee fractures ribs and clavicle in fall

Accident Summary Nr: 131077.015 -- Report ID: 0950624 -- Event Date: 07/02/2020
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1483768.015	07/16/2020		493110	Pace Supply Corp

Abstract: At 11:40 a.m. on July 2, 2020, an employee was placing heavy pipe valves onto a storage rack from a piece of plywood elevated by a forklift. The employee was standing on the plywood with two valves when he instructed a coworker to lift him with the forklift. When the employee moved one of the valves, the plywood tipped and he fell approximately 10 feet to the ground. The employee was hospitalized to treat several fractured ribs and a fractured clavicle.

Keywords: Blunt force trauma, Collarbone, Fall, Forklift, Forks, Fracture, Plywood, Rib, Storage Rack, Valve

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1483768.015	55	M	Hospitalized injury		Laborers, except construction

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