Accident Report Detail

Accident Summary Nr: 202353587 - Employee is killed when struck by forklift

Accident Summary Nr: 202353587 -- Report ID: 0352440 -- Event Date: 01/26/2005
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
308228147	01/26/2005	5039	423390	Peri Formwork Systems, Inc.

Abstract: On January 26, 2009, Employee #1, a worker for a form work distributor, was walking through the lay-down yard, owned by the distributor, when he was struck by a forklift. He became trapped beneath the vehicle and was dragged 30 feet. Employee #1 was killed.

Keywords: FRACTURE, TRAFFIC CONTROL, DRAGGED, INDUSTRIAL TRUCK, STRUCK BY, RUN OVER, CONCRETE, INATTENTION

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	308228147			Fatality	Fracture	Supervisors; distrib., sched'g & adjusting clerks

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