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Occupational Safety and Health Administration OSHA

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 NrDate OpenedSICNAICSEstablishment Name
1569779.01512/20/202149311099 Cents Only Stores Llc

Abstract: At 12:40 p.m. on November 9, 2021, an employee was operating a Raymond 8410 pall et jack. The pallet jack went over a piece of wood, which got stuck underneath t he 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 wa s hospitalized.

Keywords: concussion, fall, head, pallet jack

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

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