Accident Report Detail

Accident Summary Nr: 135755.015 - Employee is struck and killed by falling object

Accident Summary Nr: 135755.015 -- Report ID: 0418100 -- Event Date: 05/19/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1532142.015	05/20/2021		238910	Mathis Grading, Inc.

Abstract: At 12:00 p.m. on May 19, 2021, an employee prepared an area to drive a stake. At some point, the forks from a piece of equipment fell, struck and killed the employee.

Keywords: Falling Object, Forks, Struck By

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition					X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1532142.015	24	M	Fatality		Grader, dozer and scraper operators	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Installing culverts and incidental drainage Fatality Cause:

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