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 Nr	Date Opened	SIC	NAICS	Establishment Name
1585698.015	03/10/2022		237110	Pcn3, Inc.

Abstract: At 10:53 a.m. on February 26, 2022, an employee assisted a coworker with the placement of material onto a roof and was guiding a load of sheet metal decking rigged and hoisted by a telehandler forklift (Make: JCB, Model Number: 51056, Serial Number: JCB5CG7GJK2795168). While the employee stood under the load to guide it, the extended forklift boom fell off and struck the employee on the back and the 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 right 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 of Injury	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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