Accident Report Detail

Accident Summary Nr: 202252490 - Employee Falls and Is Injured

Accident Summary Nr: 202252490 -- Report ID: 0953210 -- Event Date: 09/19/2013
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
317288611	09/19/2013	5141	424410	Sysco Sacramento, Inc.

Abstract: At approximately 9:35 a.m. on September 19, 2013, Employee #1 was loading a pallet onto a truck equipped with a lift gate. The electric pallet jack (Raymond Walkie Pallet Lift Truck, Model Number 102T-F45L and Serial Number 102-11-19511) slipped backwards on the lift gate and pinned his leg between the pallet jack and folding ramp of the lift gate. Employee #1 lost his balance, falling and striking his head on pavement below. He sustained a scalp laceration and a knee sprain in the fall. Employee #1 was transported to medical center, where he received treatment and was hospitalized.

Keywords: KNEE, LOADING, HEAD, HYDRAULIC JACK, SCALP, LACERATION, TRUCK, FALL, LOST BALANCE, UNSTABLE POSITION

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	317288611			Hospitalized injury	Cut/Laceration	Occupation not reported

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