Accident Report Detail

Accident Summary Nr: 200075596 - Owner Is Killed When Thrown from Forklift

Accident Summary Nr: 200075596 -- Report ID: 0453720 -- Event Date: 12/06/2013
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
317448652	12/10/2013	1751	238130	Harold Shouse Dba Harold'S Affordable Log Homes

Abstract: On December 6, 2013, Employee #1, the owner of a company that specialized in building log homes, was performing exterior carpentry at a residential building site. He was operating a rough terrain forklift. He lost control of the forklift, which rolled down a steep incline. Employee #1 was thrown from the forklift and killed.

Keywords: EJECTED, CARPENTER, LOG, EQUIPMENT OPERATOR, MACHINE OPERATOR, CONSTRUCTION, STEEP GRADE, INDUSTRIAL TRUCK, LOST CONTROL

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$50,000 to $250,000	1		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	317448652			Fatality	Other	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Exterior carpentry Fatality Cause: Other

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