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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 130891.015 - Employee Is Killed After Being Struck By Piv Mast

Accident: 130891.015 -- Report ID: 0522300 -- Event Date: 11/03/2020
InspectionOpen DateSICEstablishment Name
1500933.01511/04/2020C 4 Polymers, Inc.
At 3:00 p.m. on November 3, 2020, an employee was operating a Raymond Model DSD5 0R Powered Industrial Truck (PIV) to dump a container of trash into a dumpster. The employee was standing between the mast and cab attempting to push the contai ner from the forks when he bumped into the control levers causing the mast to lo wer. He was struck in the head and neck by the mast and was killed.
Keywords: blunt force, blunt force trauma, caught between, driver, dumpster, forklift, forks, fracture, head, industrial truck, material handling, neck, off loading, powered industrial vehicle, struck by, training, unstable po
Employee # Inspection Age Sex Degree Nature Occupation
1 1500933.015 51 M Fatality Sales occupations, other business services

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