Safety Incidents OSHA Severe Injury Reports · 2015–2025
105,991Records 71,450Employers 85,836Hospitalizations 27,959Amputations 2015-01-01 2025-11-30

OSHA Accident Investigation · Summary #689323

HYVEE FOOD STORES, INC.

Event
HEAD, UNCONSCIOUSNESS, GUARDRAIL, UNSECURED, WORK RULES, INDUSTRIAL TRUCK, FALL, FALL PROTECTION, CONCUSSION
NAICS
000000
Inspection type
Accident-driven
Activity number
#104542022
Employer profile
HYVEE FOOD STORES, INC.
Summary number
689323
Report ID
552700

Event description

FALL FROM ELEVATED FORKS OF FORK LIFT TRUCK

Investigation abstract

EMPLOYEE #1 WAS INSTRUCTED BY HIS SHIFT MANAGER TO CONSOLIDATE PRODUCTS ON THE P METAL STORAGE BANKS. THE FORK LIFT LABEL CLEARLY INSTRUCTS THE OPERATOR TO "CAR RY NO PASSENGERS, NEVER ELEVATE ANYONE WITHOUT A SECURED SAFETY PLATFORM". THE F ORK LIFT WAS A CLARK, MODEL S30, TYPE E, SERIAL #S30-0052-4785FA. IT IS CALLED A CLARK POWERWORKER. ALLETS IN THE REAR STORE ROOM. THE SHIFT SUPERVISOR ELEVATED EMPLOYEE #1, THE AS SISTANT SHIFT SUPERVISOR, TEN FEET UP ON THE FORKS OF A CLARK FORK LIFT. EMPLOYE E #1 WAS MOVING PRODUCTS AROUND ON THESE PALLETS WHEN HE FELL TO THE CONCRETE FL OOR. HIS HEAD STRUCK EITHER THE FORK OF THE FORKLIFT OR THE CONCRETE FLOOR. HE W AS KNOCKED UNCONSCIOUS. THE SHIFT SUPERVISOR AND ANOTHER EMPLOYEE CAME TO HIS AS SISTANCE. HE REGAINED CONSCIOUSNESS AND WAS TRANSPORATED TO THE HOSPITAL. HE WAS OPERATED ON TO REMOVE A BLOOD CLOT FROM HIS BRAIN AND PLACED IN INTENSIVE CARE. NO LIFTING CAGE WAS USED ON THE FORKLIFT AND NO GUARDRAILS WERE PROVIDED ON THE

Victim

  1. #1 Hospitalized Age 21 M

    Nature of injury
    6
    Part of body
    13
    Event type
    5
    Source
    27
    Occupation code
    37
    Human factor
    6
    Environmental factor
    6
    Task assigned
    1

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.