Accident Report Detail

Accident Summary Nr: 111673.015 - Employee falls from scaffold and sustains fractures

Accident Summary Nr: 111673.015 -- Report ID: 0111100 -- Event Date: 12/06/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1365098.015	12/10/2018		238110	Rh Contracting, Inc.

Abstract: At 10:30 a.m. on December 6, 2018, Employee #1, employed by a concrete construction company, was working from a scaffold and engaged in concrete form work for a new one-story building. A 16-foot long piece of lumber had fallen inside a concrete form. Employee #1 attempted to retrieve the lumber. As he pulled the lumber out and over his head, the weight pulled him backward. The employee fell from the scaffold, a fall height of 14 feet. He was transported to the hospital, admitted, and treated for multiple fractures of his ribs, shoulder, and back.

Keywords: Back, Concrete Form Work, Construction, Fall, Fall Protection, Fracture, Lost Balance, Lumber, Rib, Scaffold, Shoulder

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition			1	14

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1365098.015	30	M	Hospitalized injury		Concrete and terrazzo finishers	Distance of Fall: 14 feet Worker Height Above Ground/Floor: 14 feet Cause: Forming Fatality Cause:

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