Accident Report Detail

Accident Summary Nr: 91736.015 - Employee falls from forklift and is killed

Accident Summary Nr: 91736.015 -- Report ID: 0214200 -- Event Date: 11/18/2016
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1192485.015	11/18/2016		238160	Gk Brothers Construction Llc

Abstract: At 1:30 p.m. on November 18, 2016, an employee was raised by a rough terrain forklift to an upper floor elevation to retrieve a ladder. When the forklift was lowering him, the front end fork attachment disconnected from the machine and fell to the ground with the employee. The employee was killed from multiple blunt trauma.

Keywords: Elevated Work Platform, Fall, Ladder, Material Handling, Powered Industrial Vehicle, Riding on Equipment

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition		$5,000,000 to $20,000,000	3	50	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1192485.015	21	M	Fatality		Construction Laborer	Distance of Fall: 30 feet Worker Height Above Ground/Floor: 30 feet Cause: Temporary work (buildings, facilities) Fatality Cause:

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