Accident Report Detail

Accident Summary Nr: 114941.015 - Employee falls while climbing down concrete form and fractur

Accident Summary Nr: 114941.015 -- Report ID: 0317500 -- Event Date: 03/26/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1389653.015	03/28/2019		236220	Mosites Construction Company

Abstract: At 1:30 p.m. on March 26, 2019, an employee worked to bolt concrete wall forms together. At some point, the employee began to climb down from the form and fell approximately seven feet. The employee was taken to a local hospital to treat a leg (femur) fracture.

Keywords: Climbing, Concrete Form Work, Descending, Fall, Fall Protection, Fracture, Leg

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

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1389653.015	53	M	Hospitalized injury		Carpenters	Distance of Fall: 7 feet Worker Height Above Ground/Floor: 7 feet Cause: Exterior carpentry Fatality Cause:

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.