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Accident Summary Nr: 105722.015 - Employee sustains multiple injuries in 15 foot fall

Accident Summary Nr: 105722.015 -- Report ID: 0950633 -- Event Date: 11/29/2017
Inspection NrDate OpenedSICNAICSEstablishment Name
1281185.01512/05/2017493110Kann Enterprises Inc

Abstract: At 11:00 a.m. on November 29, 2017, Employee #1 climbed up 15 feet to apply shipping labels on the tires that were stored on 80 inch by 80 inch wooden pallets. The pallets were stacked three high, 5.5 feet each, in front of Dock Door #52. After applying a label on the tires that were stacked on the third tier pallet, the employee tried to jump onto the second tier pallet. He fell 15 feet onto the ground, sustaining head trauma and other multiple injuries. The employee was hospitalized for less than 24 hours.

Keywords: Fall, Head, Pallet, Struck Against, Tire

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation
1 1281185.015 38 M Non Hospitalized injury Laborers, except construction

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