Accident Report Detail

Accident Summary Nr: 108555.015 - Employee incurs multiple injuries in fall from form

Accident Summary Nr: 108555.015 -- Report ID: 0419700 -- Event Date: 08/16/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1341448.015	08/24/2018		238110	A.A. Pittman & Sons Concrete Company, Inc.

Abstract: At 11:00 a.m. on August 16, 2018, Employee #1 was removing a form from the masonry exterior of a commercial building with fall protection consisting of a body belt anchored to a (2 in. by 4 in.) frame member. As a result of an improperly installed body belt/anchorage system, Employee #1 fell from the form, hit a wall, and then fell 16 feet to the ground. Afterwards, Employee #1 sustained head trauma, fractures, abdominal and bladder injuries and was hospitalized.

Keywords: Abdomen, Anchor, Belt, Bladder, Building, Contact, Fall, Fall Protection, Form work, Fracture, Frame, Head, Installing, Masonry Wall, Traumatic, Wall

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition				20

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1341448.015	50	M	Hospitalized injury		Construction trades, n.e.c.	Distance of Fall: 16 feet Worker Height Above Ground/Floor: 16 feet Cause: Exterior masonry Fatality Cause:

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