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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 70180.015 - Concrete Worker Is Struck By Forklift And Sustains Multiple

Accident: 70180.015 -- Report ID: 0216000 -- Event Date: 01/08/2015
InspectionOpen DateSICEstablishment Name
1021395.01501/22/2015Roger & Sons Concrete, Inc.

At 10:00 a.m. on January 8, 2015, Employee #1 and coworker, employed by a concre te company, were involved in constructing a mock-up concrete wall in the employe r's work yard. Employee #1 was standing on a form panel and setting tie rods to the mock panel. The coworker was operating a forklift, JCB Model 509-42, which was carrying materials such as tie rods and panels. The coworker apparently b ecame confused and stepped on the forklift's acceleration pad. The machine, whi ch was moving slowly, struck Employee #1. Emergency services were called, and E mployee #1 was transported to the hospital. He was admitted and treated for a l ower back sprain and a right elbow sprain.

Keywords: back, concrete, concrete form work, construction, construction vehicle, elbow, powered industrial vehicle, sprain, struck by, wall
Accident Details
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Contractor's yard/facility Other   0 24

Employee Details
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 1021395.015 45 M Hospitalized injury Carpenters FallDist:
Cause: Forming

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