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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident Summary Nr: 149088.015 - Employee Is Struck By Falling Forklift Boom, Receives Multip

Accident Summary Nr: 149088.015 -- Report ID: 0950632 -- Event Date: 02/26/2022
Inspection NrDate OpenedSICNAICSEstablishment Name
1585698.01503/10/2022237110Pcn3, Inc.

Abstract: At 10:53 a.m. on February 26, 2022, an employee assisted a coworker with the pla cement of material onto a roof and was guiding a load of sheet metal decking rig ged and hoisted by a telehandler forklift (Make: JCB, Model Number: 51056, Seria l Number: JCB5CG7GJK2795168). While the employee stood under the load to guide i t, the extended forklift boom fell off and struck the employee on the back and t he employee fell approximately three feet into a hole on the roof. The employee was hospitalized to treat a back injury, contusion, and torn ligament to the rig ht ankle.

Keywords: ankle, back, boom, contusion, fall, falling object, floor hole, forklift, guide, metal decking, roof, struck by
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Other building New project or new addition   1

Employee Details
Employee # Inspection Nr Age Sex Degree Nature of Injury Occupation Construction
1 1585698.015 57 M Hospitalized injury Carpenter Distance of Fall: 4 feet
Worker Height Above Ground/Floor: 9 feet
Cause: Roofing
Fatality Cause:

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