Accident Report Detail

Occupational Safety and Health Administration OSHA

Accident: 116329.015 - Employee Climbing Down Form Falls, Fractures Arm

**Accident: 116329.015 -- Report ID: 0419700 -- Event Date: 05/10/2019**
Inspection	Open Date	SIC	Establishment Name
1401626.015	05/13/2019		Kirkland Concrete, Llc.

At 7:30 a.m. on May 10, 2019, Employee #1, employed by a concrete construction c ompany, was engaged in forming work for a new one-story commercial building. He was climbing down a concrete form when he slipped and fell, a fall height of 10 feet. The employee was transported to the hospital and admitted for treatment of a fractured arm.

Keywords: arm, blunt force trauma, climbing on column, concrete form work, construction, fall, fall protection, forming, fracture, struck against, unprotected

Accident Details
End Use		Proj Type		Proj Cost	Stories	NonBldgHt	Fatality
Commercial building		New project or new addition			1	10

Employee Details
Employee #	Inspection	Age	Sex	Degree	Nature	Occupation	Construction
1	1401626.015	30	M	Hospitalized injury		Carpenters	FallDist: 10 FallHt:20 Cause: Forming for piers or pylons FatCause:

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