Accident Report Detail

Accident Summary Nr: 128894.015 - Employee incurs multiple injuries when struck by falling doc

Accident Summary Nr: 128894.015 -- Report ID: 0625400 -- Event Date: 08/17/2020
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1489580.015	08/19/2020		238290	W.W. Cannon, Llc.

Abstract: At 5:45 p.m. on August 17, 2020, Employee #1 was working for a equipment installation line contractor. Employee #1 was performing work underneath a dock leveler deck (dock plate) installing "keeper-pins." The dock plate was being held up by a forklift. There was not an operator in the forklift at the time of injury. The forklift rolled backwards, and the dock plate fell onto the Employee #1. Employee #1 suffered multiple fractures including ribs, upper and lower lumbar injuries and internal bleeding. Employee #1 was hospitalized.

Keywords: Back, Caught Between, Dock, Dock Plate, Equipment Failure, Equipment Operator, Forklift, Internal Bleeding, Internal Injuries, Loading Dock, Lumbar Fracture, Lumbar Injury, Powered Industrial Vehicle, Struck By

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition			1

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Construction
1	1489580.015	54	M	Hospitalized injury		Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Installing equipment (HVAC and other) Fatality Cause:

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