HYVEE FOOD STORES, INC.

FALL FROM ELEVATED FORKS OF FORK LIFT TRUCK

EMPLOYEE #1 WAS INSTRUCTED BY HIS SHIFT MANAGER TO CONSOLIDATE PRODUCTS ON THE P 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 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.