calvin w:

The deceased was not wearing the available body belt.

"To access this top shelf location, the victim had positioned the order picker parallel to the shelf and adjacent to the toilet. The order picker was raised approximately 16 feet and had an empty wood pallet positioned with a plywood base on its tines. The victim was standing in the order picker raised operator's area and was not wearing the available body belt. The body belt, which was attached to one end of a lanyard, had been placed on the order picker's roof. The other end of the lanyard was attached to the order picker's tie off point. As the victim was accessing the box containing the toilet, he fell off the order picker to the concrete floor below, landing approximately 11 feet away from the order picker and face down." Massachusetts Case Report: 08-MA-026.