Accident Report Detail

Accident Summary Nr: 145050.015 - Employee sustains concussion after falling off pallet jack

Accident Summary Nr: 145050.015 -- Report ID: 0950641 -- Event Date: 11/09/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1569779.015	12/20/2021		493110	99 Cents Only Stores Llc

Abstract: At 12:40 p.m. on November 9, 2021, an employee was operating a Raymond 8410 pallet jack. The pallet jack went over a piece of wood, which got stuck underneath the pallet jack, bringing it to an abrupt stop. The employee fell off the pallet jack and hit his head on the ground. The employee sustained a concussion and was hospitalized.

Keywords: Concussion, Fall, Head, Pallet Jack

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury
1	1569779.015	65	M	Hospitalized injury

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