April 29, 1983
KY · Coal
haul/off road/coal/ore/pit/quarry/rock/rubber tire truck driver, transportation truck driver
STEPPING OR KNEELING ON OBJECT
C H & S Mining Company Inc · Fall to the walkway or working surface
EE SAYS HE WAS TARPING TRUCK, SLIPPED ON COAL & HAD TO CATCH FALL WEIGHT WITH LEFT HAND THEREBY INFLICTING PAIN IN LEFT SHOULDER. THE ACCIDENT O%'*%*%* WAS NOT KNOWN TO EMPLOYER UNTIL HEALTH INS. CLAIM FORM WAS RECEIVED ON 11-14-83 BY MAIL. EE HAD MADE NO PREVIOUS REPORT. EE INSTRUCTED TO REPORT ALL INJURIES PROMPTLY.