Accident Report Detail

Accident Summary Nr: 131305.015 - Employee incurs multiple injuries when struck by falling obj

Accident Summary Nr: 131305.015 -- Report ID: 0355110 -- Event Date: 11/23/2020
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1503854.015	11/24/2020		326199	Polycap Llc

Abstract: At 10:30 a.m. on November 23, 2020, an employee was jacking up an extruder machine so that slides could be placed under it. The slides were to be used for moving the machine. A large die, weighing between 1,000-2,000 pounds, broke at its weld while the extruder machine was being jacked up. When the weld broke, the die fell onto the employee who was operating the jack. The employee was hospitalized to treat a lacerated forehead, two broken ribs, a fractured pelvis, and a small bleed to the brain.

Keywords: Brain Bleed, Broke, Broken Bone, Die, Extrude, Falling Object, Forehead, Fracture, Laceration, Lifting, Pelvis, Rib, Slide, Struck By

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1503854.015	37	M	Hospitalized injury		Machinery maintenance occupations

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