Accident Report Detail

Accident Summary Nr: 107348.015 - Employee is injured in fall from work platform

Accident Summary Nr: 107348.015 -- Report ID: 0352450 -- Event Date: 05/14/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1316661.015	05/14/2018		238110	The Bartley Corporation

Abstract: At 9:30 a.m. on May 14, 2018, Employee #1 and a coworker, employed by a concrete construction company, were engaged in concrete formwork for a new three-story residential structure. The coworker was operating the pump truck from which concrete was being poured into a 12-foot tall aluminum form. Employee #1 was working from an elevated platform that measured approximately 2 inches by 8 inches by 16 feet. The platform, which had no guardrail or other fall protection, was attached to the form. Employee #1 was holding the end of the hose attached to the pump truck when the bottom of the form blew out, causing the form to shake. Employee #1 fell from the platform, a fall height of 11.75 feet, and struck compacted soil. Emergency services transported the employee to the hospital, where he was treated for muscle strains to his right arm and shoulder. He was released without hospitalization.

Keywords: Arm, Concrete, Concrete Pump, Concrete Truck, Elevated Work Platform, Fall, Fall Protection, Form work, Guardrail, Hose, Pouring, Residential Construction, Scaffold, Scaffold Collapse, Shoulder, Sprain, Structural Collapse, Unguarded

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition			3

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1316661.015	28	M	Non Hospitalized injury		Concrete and terrazzo finishers	Distance of Fall: 12 feet Worker Height Above Ground/Floor: 12 feet Cause: Pouring concrete foundations and walls Fatality Cause:

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