Accident Report Detail

Accident Summary Nr: 105073.015 - Employee falls from wall and injures back and arm

Accident Summary Nr: 105073.015 -- Report ID: 0418800 -- Event Date: 04/16/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1312126.015	04/23/2018		236116	Sunshine Building Group, Inc.

Abstract: At 11:30 a.m. on April 16, 2018, Employee #1, employed by a construction company, was building a 12-foot concrete wall at a residential construction site. He was walking along the top of the wall and removing concrete forms when he fell. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for back and arm injuries.

Keywords: Arm, Back, Concrete, Concrete Form Work, Dismantling, Fall, Fall Protection, Residential Construction, Wall, Work Platform

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
		New project or new addition			1	12

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1312126.015	50	M	Hospitalized injury		Construction Laborer	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause:

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