Accident Report Detail

Accident Summary Nr: 200610038 - Employee injured in fall with raised forklift platform

Accident Summary Nr: 200610038 -- Report ID: 0111700 -- Event Date: 11/30/1996
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
300440716	12/03/1996	7011	0	Eastern Slope Inn Association

Abstract: Employee #1 was on a raised work platform set onto the forks of a Pettibone rough-terrain forklift, model #6, changing a fluorescent lightbulb on a storefront. He was on the extreme right side of the platform when it flipped over. Employee #1 and the platform fell 15 ft onto a concrete sidewalk. He suffered broken ribs, a punctured lung, a broken nose, and a dislocated shoulder. The platform was equipped with guardrails, but it had not been secured to either the forks or the mast. It was impossible to determine if the 60 in. wide platform was centered on the forks, which were only 24 in. wide from center to center.

Keywords: FRACTURE, LUNG, UNSECURED, WORK RULES, INDUSTRIAL TRUCK, RIB, FALL, ELEVATED WORK PLAT, OVERTURN, UNSTABLE POSITION

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300440716			Hospitalized injury	Concussion	Occupation not reported

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