Struck by... (Not Elsewhere Classified)
Conditions were safe and normal at the pit site.
Conditions were safe and normal at the pit site.
EE was lifting stones off of saw table after they had been cut to size.
EMPLOYEE WAS LIFTING SLATE ONTO CONVEYOR.
Thumb was caught between chain and sprocket.
SLATE BEING PICKED UP BROKE & CUT ARM.
LACERATION RT HAND/ CAUSED BY METAL STRAPPING.
SLIPPED IN MUD AND TWISTED KNEE REPORT WAS NOT SUBMITTED IMMEDIATELY BECAUSE EXTENT OF INJURY WAS NOT KNOWN. HE WILL BE REQUIRED TO HAVE SURGERY ON HIS KNEE WHICH WILL CAUSE SO ME LOST TIME.
THIS ACCIDENT WAS DETERMINED BY THE COURT THAT IT WAS RELATED TO HIM BEING EE BY US. ANY INFORMATION NOT INCLUDED ON THIS FORM WE DO NOT HAVE. EE NEVER RETURNED TO JOB. PLEASE FOR FURTHER EXPL ANATION.