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Accident: 201798675 - Employee Is Injured When Struck By Forklift

Accident: 201798675 -- Report ID: 0950644 -- Event Date: 09/30/2004
InspectionOpen DateSICEstablishment Name
30133331610/04/20047513Carmenita Ford Truck Sales Dba Carmenita Truck Ctr
At about 8:25 a.m. on September 30, 2004, Employee #1, with Carmenita Ford Truck Sales, was walking south on the east side of a service building when he was struck by an electric forklift (Toyota Model Number 5 FBE18, Serial Number 16513). The forklift operator had looked away momentarily, and was unable to stop when he saw Employee #1. The forklift mast struck Employee #1's right shoulder, and the left wheel ran over his right foot. He then fell to the ground. Employee #1 was hospitalized at La Palma Community Hospital for a pulled left hamstring, bruised right shoulder and arm, fractured big and little toes, and trauma and swelling to his right foot.
Keywords: fracture, industrial truck, struck by, tow truck, run over, contusion, foot, inattention
Employee # Inspection Age Sex Degree Nature Occupation
1 301333316 Hospitalized injury Fracture Supervisors; distrib., sched'g & adjusting clerks

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