Accident Report Detail

Accident Summary Nr: 138081.015 - Employee fractures ankle while operating stand-up pallet jac

Accident Summary Nr: 138081.015 -- Report ID: 0213400 -- Event Date: 08/12/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1547349.015	08/12/2021		423850	Sysco Guest Supply

Abstract: At 1:39 p.m. on August 12, 2021, Employee #1 was moving product using a Crown Stand-Up Electric Double Pallet Jack (Model PE4500-60, Serial Number 10082609, Company Number W02) when he lost control while making a turn. As a result, he fell from the pallet jack, sustaining a fracture to his left ankle. The employee was hospitalized for treatment.

Keywords: Ankle, Fall, Fall From Elevation, Fracture, Lost Control, Pallet Jack, Pit

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1547349.015	21	M	Hospitalized injury		Laborers, except construction

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