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Accident Summary Nr: 108479.015 - Employee incurs contusion when struck on head by falling for

Accident Summary Nr: 108479.015 -- Report ID: 0950631 -- Event Date: 08/17/2018
Inspection NrDate OpenedSICNAICSEstablishment Name
1340631.01508/17/2018236220Calcrete Construction Inc.

Abstract: At 1:00 p.m. on August 17, 2018, Employee #1, employed by a concrete construction company, was engaged in form work at the site of a new commercial building. He was removing forms when a form fell from 2 feet above his head and struck his head. The employee was transported to the hospital, treated for a contusion to his head, and discharged without hospitalization.

Keywords: Concrete Form Work, Construction, Contusion, Dismantling, Falling Object, Form work, Head, Material Handling, Struck By
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Commercial building New project or new addition  

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation Construction
1 1340631.015 49 M Non Hospitalized injury Laborers, except construction Distance of Fall: feet
Worker Height Above Ground/Floor: feet
Cause: Forming
Fatality Cause:

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