Accident Report Detail
Accident Summary Nr: 201057411 - Employee injured falling from fork lift
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 300781549 | 04/29/2003 | 4225 | 493110 | Jame Stone Co. Home Collections |
Abstract: At approximately 10:00 a.m. on April 15, 2003, Employee #1 and two other employees of a furniture distribution company, finished unloading material in a back storage area of the warehouse and needed to go back to the front. Employee #1 and the second employee were riding on a plastic pallet on the forks of the forklift. The forklift driver, who is also a warehouse manager, proceeded to drive to the front of the warehouse area at approximately 15 to 25 mph. The forklift and platform struck a pole causing employees to be thrown off the platform and onto the cement floor. Employee #1 was transported to Los Angeles County USC Medical Center where he was treated and hospitalized with a fractured left leg. The second employee was treated for injuries to his back, waist and right foot but was not hospitalized. The forklift was a Nissan, Model Number 20, Serial Number PJO2 PJO2A20 PJ02-001042.
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300781549 | Hospitalized injury | Fracture | Laborers, except construction |
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