Accident Report Detail

Accident Summary Nr: 200571701 - Employee Is Killed When Crushed by Overturned Forklift

Accident Summary Nr: 200571701 -- Report ID: 0316700 -- Event Date: 11/11/2011
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
315886150	11/11/2011	1761	238160	Fm Home Improvement, Incorporated

Abstract: On November 11, 2011, Employee #1, a forklift operator for Fm Home Improvement, Incorporated, was aligning his Pettibone Forklift parallel with the building, which was under construction. The boom and forks were raised approximately 25 to 30 ft. He drove toward a slight slope, and the front right and rear left tires lifted from the ground. Employee #1 tried to stabilize the forklift by lowering the outriggers, and it began to slowly tip over. Employee #1 jumped from the driver's seat and ran in the direction the lift was falling, and was struck on the head by the extendable arm of the lift, which resulted in his death.

Keywords: OUTRIGGER, ROLL-OVER, CONSTRUCTION, INDUSTRIAL TRUCK, SLOPE, OVERTURN, TIRE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		Alteration or rehabilitation		$5,000,000 to $20,000,000	4	55	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	315886150			Fatality	Fracture	Roofers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Roofing Fatality Cause: Crushed/run-over/trapped of operator by operating

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