Instantly after take off, the pilot of Alaskan Airlines Flight 448 reported hearing banging from underneath the plane.
Seattle television station KIRO 7 reported the worker had taken a nap in the pressurised and temperature-controlled cargo hold, and awoke to find the plane airborne.
The worker appeared to be fine, but was reportedly hospitalised as a precaution.
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The flight left for Los Angeles 45 minutes after the worker was rescued, this time with only baggage in the hold.