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Employee was shoveling sand at the end of shift and reported to supervisor that back was sore. EE completed shift and went on 3 days off. Upon returning, employee was fine and operated a loader, until a few hours into shift, EE advised supervisor that back was hurting and ee needed to go home.

While Shoveling sand away from a hopper on the backside, sand fell from the hopper onto the shoulder, neck and head area of the employee