Accident Report Detail

Accident Summary Nr: 100979.015 - Employee falls during concrete form removal and fractures hi

Accident Summary Nr: 100979.015 -- Report ID: 0418200 -- Event Date: 11/17/2017
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1279016.015	11/20/2017		236116	Baker Concrete Construction

Abstract: At 9:00 a.m. on November 17, 2017, Employee #1, employed by a concrete construction company, was engaged in removing a concrete form at a construction jobsite. He was anchored to the form so that he could attach a crane's hook. The crane then would lower the form to the ground. When Employee #1 climbed the form, it became unbalanced and fell. Employee #1 rode the form to the ground, a fall height of 10 feet, and was injured on impact. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for a fractured hip and contusions.

Keywords: Anchor, Concrete Form Work, Construction, Crane, Crane Hook, Dismantling, Fall, Fall Protection, Fracture, Hip

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition			9

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1279016.015	40	M	Hospitalized injury		Carpenters	Distance of Fall: 10 feet Worker Height Above Ground/Floor: 10 feet Cause: Pouring concrete for piers, and pylons Fatality Cause:

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.