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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 NrDate OpenedSICNAICSEstablishment Name
1021395.01501/22/2015238110Roger & 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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