Accident Report Detail

Accident Summary Nr: 104417.015 - Employee falls from ladder and injures head and leg

Accident Summary Nr: 104417.015 -- Report ID: 0950632 -- Event Date: 10/31/2017
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1275705.015	11/07/2017		238110	Certified Concrete Inc.

Abstract: At 2:00 p.m. on October 31, 2017, Employee #1, employed by a concrete construction company, was involved in the multiemployer renovation of a 14-story multifamily residential building. He was engaged in concrete form work at an abandoned freight elevator. Employee #1 used a 24-foot extension ladder to access the elevator pit approximately 12 feet below the basement floor, where he was assigned to prep for form work for a new concrete floor. As he descended the extension ladder, his foot slipped, and Employee #1 fell to the pit's floor, a fall height of approximately 6 to 7 feet. His leg caught between rungs, and the ladder fell with him. Emergency services were called, and Employee #1 was transported to the hospital, admitted, and treated for head and leg injuries.

Keywords: Concrete Form Work, Contusion, Descending, Elevator Shaft, Extension Ladder, Fall, Head, Leg, Residential Construction, Slip

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		Alteration or rehabilitation			14

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1275705.015	41	M	Hospitalized injury		Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Pouring or installing floor decks Fatality Cause:

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