Accident Report Detail

Accident Summary Nr: 116329.015 - Employee climbing down form falls, fractures arm

Accident Summary Nr: 116329.015 -- Report ID: 0419700 -- Event Date: 05/10/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1401626.015	05/13/2019		238110	Kirkland Concrete, Llc.

Abstract: At 7:30 a.m. on May 10, 2019, Employee #1, employed by a concrete construction company, 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		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition			1	10

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1401626.015	30	M	Hospitalized injury		Carpenters	Distance of Fall: 10 feet Worker Height Above Ground/Floor: 20 feet Cause: Forming for piers or pylons Fatality Cause:

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