Accident Report Detail

Accident Summary Nr: 70180.015 - Concrete worker is struck by forklift and sustains multiple

Accident Summary Nr: 70180.015 -- Report ID: 0216000 -- Event Date: 01/08/2015
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1021395.015	01/22/2015		238110	Roger & Sons Concrete, Inc.

Abstract: At 10:00 a.m. on January 8, 2015, Employee #1 and coworker, employed by a concrete company, were involved in constructing a mock-up concrete wall in the employer'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 became confused and stepped on the forklift's acceleration pad. The machine, which was moving slowly, struck Employee #1. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for a lower 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		Project Type		Project Cost	Stories	Non-building Height	Fatality
Contractor's yard/facility		Other			0	24

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1021395.015	45	M	Hospitalized injury		Carpenters	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause:

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