The accident took place near Bundeli village under Jhagrakhand police station limits when the victims were returning home this evening, Koriya superintendent of police B S Dhruv told PTI.
At least 22 labourers, most of them women, working at construction site of an anicut (barrier) on a river in the area, had boarded the truck to get back to their native places.
The driver lost the control over the vehicle near Bundeli around a sharp curve and it overturned, trapping several labourers underneath.
"Four persons including two women were declared dead on reaching hospital while eighteen others, 16 of them women, are being treated," the SP said. Further probe was on.
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