Accident Report Detail

Accident Summary Nr: 201103355 - Employee Injured in Fall From Elevation

Accident Summary Nr: 201103355 -- Report ID: 0950624 -- Event Date: 10/08/2002
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
125749739	04/01/2003	5087	423850	Modesto Janitorial Supply

Abstract: On October 8, 2002, Employee #1, a supervisor, was standing on a pallet. He had an employee use a forklift to lift that pallet up approximately 10 feet so that they could stock the product on the pallet onto the racking shelf. As the employee was backing the forklift away from the racking shelf, the forklift tire spun on some shrink wrap that was lying on the concrete floor. The forklift jerked causing Employee #1 to loose balance and fall off the pallet. Employee #1 fell approximately 7 to 10 feet. He sustained a fractured left leg and knee and was hospitalized.

Keywords: KNEE, FRACTURE, INDUSTRIAL TRUCK, FALL, PALLET, LOST BALANCE, CONCRETE, BACKING UP, LEG, TIRE

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125749739			Hospitalized injury	Fracture	Supervisors; distrib., sched'g & adjusting clerks

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