Accident Report Detail

Accident Summary Nr: 14238794 - Employee bruised when struck by falling form jack leg

Accident Summary Nr: 14238794 -- Report ID: 0953210 -- Event Date: 10/28/1992
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
114600158	10/28/1992	1542	0	Krump Construction, Inc.
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
114600174	10/28/1992	1731	0	Pioneer Electric
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
114600166	10/28/1992	1711	0	Savage & Son Inc.
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
114600208	10/28/1992	1711	0	Desert Fire Protection
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
114600190	10/28/1992	1741	0	Gene Koffler Masonry
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
114600216	10/28/1992	1799	0	Bragg Crane Service

Abstract: At approximately 3:30 p.m. on October 28, 1992, Employee #1 was using a forklift to transport a shoring form up an inclined ramp. The boom of the forklift struck the base plate of a horizontally installed, adjustable form jack leg, and knocked the unsecured leg loose. The leg struck the right side of the forklift and then Employee #1 on the top of his right hand. He sustained minor, superficial bruises to his hand.

Keywords: HAND, STRUCK BY, UNSECURED, INDUSTRIAL TRUCK, CONTUSION, CONSTRUCTION, FALLING OBJECT, JACK

Employee Details
Employee #	Inspection Nr	Degree of Injury	Nature of Injury	Occupation
1	114600158	Non Hospitalized injury	Bruise/Contus/Abras	Construction trades, n.e.c.
2	114600174			Occupation Not Listed
3	114600166			Occupation Not Listed
4	114600208			Occupation Not Listed
5	114600190			Occupation Not Listed
6	114600216			Occupation Not Listed

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