# Amputations at Defense Commissary Agency
> OSHA SIR `20191011318` · 10/29/2019 · SANTA RITA, GUAM
## Severity
- **1 amputation, 1 hospitalization**
- **Body part:** Toes(s), toenail(s)
- **Nature of injury:** Amputations
## Cause
- **Event:** Struck by object falling from vehicle or machinery-other than vehicle part
- **Source:** Ramps, loading docks, dock plates
- **Secondary source:** Forklift, order picker, platform truck-powered
## Employer
- **Name:** Defense Commissary Agency
- **Location:** GUAM NAVAL BASE PSC 455, SANTA RITA, GUAM, 96540
- **NAICS:** 445110
- **Jurisdiction:** 1
## Narrative

An employee was unloading a shipping container. A portable loading ramp was being moved into place when it fell off the forklift and landed on the employee's foot. The steel cap of his steel-toed boots was crushed against his toes, resulting in medical amputation of four toes.

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*Source: [OSHA Severe Injury Reports](https://www.osha.gov/severe-injury-reports) · MORVS · CC0 1.0*