Accident Report Detail

Accident Summary Nr: 201044336 - One Employee Is Killed, One Is Bruised in Forklift Tip Over

Accident Summary Nr: 201044336 -- Report ID: 0953220 -- Event Date: 12/28/2009
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
313969636	12/28/2009	1629	237130	Selbach Construction

Abstract: On December 28, 2009, Employee #1 and Employee #2 were working in a basket of an all terrain forklift at a height of approximately 40 ft. The forklift tipped over. Employee #1 was killed and Employee #2 was hospitalized with bruises and contusions.

Keywords: STRUCK AGAINST, INDUSTRIAL TRUCK, FALL, CONTUSION, OVERTURN

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other heavy construction		New project or new addition		Under $50,000		50	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	313969636			Hospitalized injury	Bruise/Contus/Abras	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 42 feet Cause: Fencing, installing lights, signs, etc. Fatality Cause: Fall from/with scaffold
2	313969636			Fatality	Bruise/Contus/Abras	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 42 feet Cause: Fencing, installing lights, signs, etc. Fatality Cause: Fall from/with scaffold

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