Accident Report Detail

Accident Summary Nr: 201035656 - Employee receives concussion after striking object

Accident Summary Nr: 201035656 -- Report ID: 0950635 -- Event Date: 08/19/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
305474181	09/15/2003	5045	423430	Custom Goods Llc

Abstract: At approximately 10:30 a.m. on August 19, 2003, Employee #1, the warehouse manager was walking back to his office after meeting with a customer outside. He was traveling along a corridor, reportedly reading a document when he encountered a forklift, which was parked on one side of the corridor. The forklift was equipped with two straight-sided clamp attachments that carried a 4-ft by 4-ft by 4-ft brown carton filled with used boxes. The driver stopped the forklift to adjust the load. As Employee #1 approached the forklift from the front, his right chest hit the left hand side clamp, causing him to lose his balance and strike his head on the floor. Emergency medical personnel were summoned. They arrived and took him to a medical center. At the hospital, he was treated for a concussion and then hospitalized for observations.

Keywords: CHEST, HOLD-DOWN CLAMP, LOAD SHIFT, INDUSTRIAL TRUCK, STRUCK BY

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	305474181			Hospitalized injury	Concussion	Managers and administrators, n.e.c

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