Abstract: On April 8, 2004, Employee #1 was working with a three man crew collecting garbage in a residential area. The employee and coworker #1 were collecting the garbage and coworker #2 was driving the rear-loading garbage truck. Coworker #2 pulled forward down a dead-end street and Employee #1 and Coworker #1 were collecting garbage on the way. Coworker #2 then backed out of the street with Employee #1 and Coworker #1 riding on each side on the rear of the truck. Employee #1 was on the right and was describing a turtle to coworker #1. He had let go of a hand-hold to show the size with his hands when he fell from the step and was run over by the rear dual wheels. Employee #1 suffered severe crushing injuries of the lower extremities and pelvis and was transported to the hospital, where he later died.