Accident Report Detail

Accident Summary Nr: 138621.015 - Employee incurs injuries in fall, later dies of heart attack

Accident Summary Nr: 138621.015 -- Report ID: 0454713 -- Event Date: 06/14/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1550204.015	08/20/2021		325180	W.R. Grace & Co. - Conn.

Abstract: At 3:00 p.m. on June 14, 2021, an employee was operating a forklift moving product totes from a process building to a storage shed when he woke up on the ground. A coworker who spoke to the employee said the employee had left the forklift to check a tote number after placing the forklift in neutral and setting the parking brake. The employee told the coworker he may have tripped or missed a step and fell to the ground hitting the left side of his body on the concrete. The employee had sought medical care three separate times for his injuries. On June 27, 2021, the employee died from cardiac arrest.

Keywords: Abdomen, Abrasion, Blunt force, Blunt force trauma, Cardiac Arrest, Cardiovasc System, Chest, Concrete, Contusion, Driver, Equipment Operator, Fall, Forklift, Heart, Heart Attack, Hip, Industrial Truck, Leg, Material Handling, Powered Industrial Vehicle, Pulmonary Embolism, Tote Box, Tripped

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1550204.015	53	M	Fatality		Equipment Operator: Heavy

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