Accident Report Detail

Accident Summary Nr: 106422.015 - Employee is injured in fall from plank into excavation

Accident Summary Nr: 106422.015 -- Report ID: 0111400 -- Event Date: 05/31/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1319934.015	06/01/2018		238110	Pastore Concrete Forms, Inc.

Abstract: At 2:45 p.m. on May 31, 2018, Employee #1, employed by a construction company, was working at the site of a new residential structure. As he was walking across a wooden plank, he fell into an excavation, a fall height of 8.5 feet. Employee #1 struck his head on a rock and pieces of concrete forming material. He was transported to the hospital, admitted, and treated for head injuries and lacerations.

Keywords: Catwalk, Excavation, Fall, Fall Protection, Head, Laceration, Plank, Residential Construction, Rock, Struck Against, Walking On Plank

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition			1	9

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1319934.015	61	M	Hospitalized injury		Concrete and terrazzo finishers	Distance of Fall: 9 feet Worker Height Above Ground/Floor: 9 feet Cause: Forming Fatality Cause:

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