Inspection Detail

Case Status: CLOSED

Inspection: 1318076.015 - Cems Inc

Inspection Information - Office: Washington Area Office

Inspection Nr: 1318076.015

Report ID: 1032300

Date Opened: 05/23/2018

Site Address:
Cems Inc
Highway 410 Mount Rainier National Park Between Mile Post 63 And 64
Enumclaw, WA 98022

Mailing Address:
Po Box 303, Ridgefield, WA 98642

Union Status: Union

SIC:

NAICS: 237990/Other Heavy and Civil Engineering Construction

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/04/2018

Emphasis:

Case Closed: 10/26/2018

Related Activity
Type	Activity Nr	Safety	Health
Referral	1348754	Yes

Case Status: CLOSED

Investigation Summary

Investigation Nr: 105864.015

Event: 05/17/2018

Employee is struck by forklift, incurs multiple leg fracture

At 7:15 a.m. on May 17, 2018, Employee #1 and a coworker were working near a fueling station. Employee #1 was performing routine maintenance on a tracked excavator. The coworker was operating a reach forklift. As the forklift backed up, its right rear wheel struck and ran over Employee #1's leg. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for multiple fractures in his lower leg.

Keywords: Aerial Lift, Backing Up, Construction, Excavator, Fracture, Leg, Maintenance, Run Over, Struck By, Wheel

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1318076.015	25	M	Hospitalized injury		Equipment Operator: Heavy

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