Accident Report Detail

Accident Summary Nr: 141099.015 - Employee is struck and killed by backing rough-terrain forkl

Accident Summary Nr: 141099.015 -- Report ID: 0552651 -- Event Date: 11/10/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1563645.015	11/10/2021		238110	Krull Construction Co., Inc.

Abstract: At 12:30 p.m. on November 10, 2021, an employee drove stakes to set forms near a public road. A coworker operated a rough-terrain forklift in reverse nearby. At some point, the employee walked into the path of the forklift and was struck by the right, rear tire. The employee was killed by crushing injuries to the legs and upper torso, and severe laceration to the lower back.

Keywords: Back, Backing Up, Crushing, Forklift, Form work, Laceration, Leg, Stakes, Struck By, Tire, Torso

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
		New project or new addition			2		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1563645.015	37	M	Fatality		Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause:

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