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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 111031.015 - Employee Fractures Vertebra In Fall From Elevated Forklift P

Accident: 111031.015 -- Report ID: 0751910 -- Event Date: 11/08/2018
InspectionOpen DateSICEstablishment Name
1360511.01511/15/2018International Ingredient Corporation
At 7:30 a.m. on November 8, 2018, Employee #1 was attempting to hang a tarp from the ceiling. Employee #1 had finished installing three screws on the left end o f the tarp. Employee #1 instructed a coworker to horizontally shift the Nissan F orklift (Model Number KCPH02A25PV) forks to the right. Employee #1 proceeded to step toward the back-right portion of the Titan 2 Person Forklift Platform (Mode l Number LWP10). The lack of safety pins and unsecured channels caused the platf orm to tip over, throwing Employee #1 out. Employee #1 struck a metal siding wa ll, fell onto a guard rail and ended on the concrete floor. Employee #1 was then struck by the falling Titan 2 Person Forklift Platform. Employee #1 was hospita lized with a fractured vertebra.
Keywords: ejected, fall, forklift, fracture, guardrail, installing, overturn, powered industrial vehicle, struck against, vertebra
Employee # Inspection Age Sex Degree Nature Occupation
1 1360511.015 1 M Hospitalized injury Industrial machinery repairers

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