Abstract: At approximately 8:15 a.m. on May 21, 2009, Employee #1, a new general foreman of two months, was standing on an elevated Hyundai-Forklift pallet, 12 feet high, tightening bolts. The wooden pallet gave way, and Employee #1 fell. He was not tied off, nor did he have on any other fall protection. The forklift driver, who had raised Employee #1 to the elevated position, was not sitting in his seat when the accident occurred. Investigations revealed that Employee #1 was not provided with a guardrail or fall protection, and the forklift driver was not in his seat controlling the forklift, as required. Employee #1 was taken to Saint Francis Medical Center for treatment, but died five days later.