OSHA Accident Investigation · Summary #221390297

DEMOULAS SUPER MARKETS, INC.

ANDOVER, MA· 2021-09-13T00:00:00

Event: Concussion, Falling Object, Head, Hoist, Hoisting Mechanism, Industrial Truck, Laceration, Lack of Work Procedures, Lockout, Lockout/Tagout, Malfunction, Mast, Mech Malfunction, Motor Vehicle, PIV, Powered Industrial Vehicle, Repair, Struck By, Unsecured, Warehouse
NAICS: 493190
Inspection type: Referral
Activity number: #345525638
Employer profile: DEMOULAS SUPER MARKETS, INC.
Summary number: 221390297
Report ID: 0134000

Event description

Employee sustains head trauma when struck by falling PIV car

Investigation abstract

At 6:45 a.m. on September 13, 2021, an employee working for a warehousing and storage facility was attempting to fix a powered industrial vehicle (PIV). The mast and carriage on the PIV were stuck in the elevated position. The employee removed the bolts from the mast and carriage at which time the carriage fell on the employee's head. The employee received medical treatment without hospitalization for a laceration to his head.

Victim

#1 Non-hospitalized injury Age 35 M

Event type
1

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