Accident Report Detail

Accident Summary Nr: 106418.015 - Two employees are injured by falling form parts

Accident Summary Nr: 106418.015 -- Report ID: 0626700 -- Event Date: 06/11/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1322163.015	06/12/2018		237310	Almeda Genoa Constructors, Jv.

Abstract: At 3:30 p.m. on June 11, 2018, Employees #1 and #2, employed by a construction company, were completing highway forming as part of a multiemployer construction project. As they dismantled the forms and unbolted the side panels, a form shifted, falling and striking the two employees. One employee incurred a fractured jaw and the injury to the other employee was unknown. Emergency services transported the employees to the hospital, where both were admitted and treated.

Keywords: Construction, Dismantling, Face, Falling Object, Fracture, Struck By

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Highway, road, street		New project or new addition			0	0

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1322163.015	33	M	Hospitalized injury		Laborers, except construction	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause:
2	1322163.015	28	M	Hospitalized injury		Laborers, except construction	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause:

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