Accident Report Detail

Accident Summary Nr: 201572823 - Employee Is Killed When Struck by Forklift

Accident Summary Nr: 201572823 -- Report ID: 0830500 -- Event Date: 02/15/2005
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
307528448	02/15/2005	3271	327331	Pavestone Company

Abstract: At approximately 12:55 a.m. on February 15, 2005, a packaging employee was shrink-wrapping pallets of concrete pavers at the Pavestone Company, Number 75 plant in Henderson, CO. She placed two stickers on the pallets; one sticker was the company logo, and the other was a product description with a bar code. The employee worked adjacent to the gravity feed roller conveyor system on the exterior of the facility. A forklift (Linde Model Number H40D-04, Serial Number H2X352N018940) that had returned to the conveyor line to load palletized concrete pavers struck her. The forklift's fork struck her in the torso (mid-section), causing serious injury that resulted in her death.

Keywords: VEHICLE, INADEQUATE MAINT, TORSO, INDUSTRIAL TRUCK, STRUCK BY, INATTENTION, PUNCTURE

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307528448			Fatality	Other	Occupation not reported

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