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Accident Report Detail

Accident Summary Nr: 111031.015 - Employee fractures vertebra in fall from elevated forklift p

Accident Summary Nr: 111031.015 -- Report ID: 0751910 -- Event Date: 11/08/2018
Inspection NrDate OpenedSICNAICSEstablishment Name
1360511.01511/15/2018311119International Ingredient Corporation

Abstract: 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 of the tarp. Employee #1 instructed a coworker to horizontally shift the Nissan Forklift (Model Number KCPH02A25PV) forks to the right. Employee #1 proceeded to step toward the back-right portion of the Titan 2 Person Forklift Platform (Model Number LWP10). The lack of safety pins and unsecured channels caused the platform to tip over, throwing Employee #1 out. Employee #1 struck a metal siding wall, 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 hospitalized with a fractured vertebra.

Keywords: Ejected, Fall, Forklift, Fracture, Guardrail, Installing, Overturn, Powered Industrial Vehicle, Struck Against, Vertebra

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation
1 1360511.015 1 M Hospitalized injury Industrial machinery repairers

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