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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 NrDate OpenedSICNAICSEstablishment Name
1319934.01506/01/2018238110Pastore 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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