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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 201572823 - Employee Is Killed When Struck By Forklift

Accident: 201572823 -- Report ID: 0830500 -- Event Date: 02/15/2005
InspectionOpen DateSICEstablishment Name
30752844802/15/20053271Pavestone Company
At approximately 12:55 a.m. on February 15, 2005, a packaging employee was shrink-wrapping pallets of concrete pavers at the Pavestone Company, Number 75 plant in Henderson, CO. She placed two stickers on the pallets; one sticker was the company logo, and the other was a product description with a bar code. The employee worked adjacent to the gravity feed roller conveyor system on the exterior of the facility. A forklift (Linde Model Number H40D-04, Serial Number H2X352N018940) that had returned to the conveyor line to load palletized concrete pavers struck her. The forklift's fork struck her in the torso (mid-section), causing serious injury that resulted in her death.
Keywords: vehicle, inadequate maint, torso, industrial truck, struck by, inattention, puncture
Employee # Inspection Age Sex Degree Nature Occupation
1 307528448 Fatality Other Occupation not reported

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