Accident Report Detail

Accident Summary Nr: 92311.015 - Employee is killed in fall when struck by metal form

Accident Summary Nr: 92311.015 -- Report ID: 0355111 -- Event Date: 08/08/2016
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1167928.015	08/09/2016		484121	Ken Clark Llc

Abstract: At 3:30 p.m. on August 8, 2016, Employee #1 was standing on the rear of a trailer on top of a large metal form, attempting to secure it for travel. The metal form toppled over and fell off of the trailer, striking Employee#1 in the chest as he and the form fell to the ground, killing him..

Keywords: Chest, Fall, Falling Object, Metal Sheet, Struck By, Trailer

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1167928.015	45	M	Fatality		Truck drivers, heavy

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.