OSHA Accident Investigation · Summary #221421381

CLEAN SQUAD USA, INC

WINSLOW, AZ· 2021-12-01T00:00:00

Event: Arm, Broken, Fall, Fall From Elevation, Fracture, Hip, Janitor, Ladder, Pelvis, Stepladder
NAICS: 561720
Inspection type: Referral
Activity number: #345697395
Employer profile: CLEAN SQUAD USA, INC
Summary number: 221421381
Report ID: 0936400

Event description

Employee fractures arm and pelvis in fall from step ladder

Investigation abstract

At 09:15 a.m. on December 01, 2021, an employee was removing plastic from kitchen equipment on a step ladder. The employee fell from the first or second rung from the step ladder. The employee was hospitalized to treat a broken pelvis and arm.

Victim

#1 Hospitalized Age 74 F

Event type
5

Codes shown verbatim from OSHA's accident-investigation database. A human-readable decoder is coming in a future release once the accident_lookup2 dictionary is loaded.