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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 136502.015 - Employee Dies After Being Struck By Forklift Truck

Accident: 136502.015 -- Report ID: 0625400 -- Event Date: 06/16/2021
InspectionOpen DateSICEstablishment Name
1537839.01506/21/2021Tricon Precast Limited
At 7:45 a.m. on June 16, 2021, an employee was working as a laborer for a firm t hat engaged in the construction of industrial buildings. He was outside in a yar d. He was working near a concrete form, which would be used to make a coping str ucture. He was unloading rebar cages from the forks of forklift truck number 100 . After a rebar cage had been placed into the form, the employee signaled for th e forklift operator to move back. The forklift operator reversed but then pulled forward. His forklift struck the employee as he moved to the front of the form. The employee was struck by the right fork and then caught between the fork and the concrete form. He was taken to a hospital and hospitalized for four days. Hi s initial injury was a severe laceration into the lower buttock, with excessive bleeding at the site. His condition worsened, and he suffered additional injurie s. These included kidney failure, the amputation of his left leg, a bladder perf oration, and heart failure. He died at the medical facility.
Keywords: amputated, amputation, buttocks, caught between, caught in, concrete form work, construction, forklift, heart, hemorrhage, impaled, ind trk operator, industrial truck, kidney, laceration, leg, powered industrial vehi
Employee # Inspection Age Sex Degree Nature Occupation
1 1537839.015 42 M Fatality Laborers, except construction

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