Accident Report Detail
Accident Summary Nr: 102109.015 - Employee is crushed when concrete form falls
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 1278468.015 | 11/20/2017 | 238110 | J.L. Marshall & Sons, Inc |
Abstract: At 12:45 p.m. on November 20, 2017, Employee #1, employed by a construction contractor, was working at a multiemployer construction project, a new one-story commercial building. He climbed a 14-foot steel form, used in the construction of a concrete column, to disconnect it from a crane. The form, which weighed more than 1,000 pounds, was not adequately braced, and it toppled over. Employee #1 fell with the form and was crushed when the form hit the ground. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for crushing injuries, including a fractured pelvis and other fractures, deep lacerations, and bruised internal organs.
| End Use | Project Type | Project Cost | Stories | Non-building Height | Fatality | ||
|---|---|---|---|---|---|---|---|
| Commercial building | New project or new addition | 1 | 14 | ||||
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation | Construction |
|---|---|---|---|---|---|---|---|
| 1 | 1278468.015 | 58 | M | Hospitalized injury | Carpenter | Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause: |
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