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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 116636.015 - Employee Falls While Installing Guardrails And Incurs Multip

Accident: 116636.015 -- Report ID: 0950631 -- Event Date: 01/03/2019
InspectionOpen DateSICEstablishment Name
1369873.01501/08/2019Covi Concrete Construction Inc.

At 9:45 a.m. on January 3, 2019, Employee #1 and coworkers, employed by a concre te construction company, were engaged in the construction of a multi-story parki ng structure for a multifamily residential project. Employee #1 was installing fall protection guardrails at the leading edge of the third floor after installa tion of concrete forms. The employee did not properly secure his fall protectio n system. As he walked to the leading edge, a concrete floor panel became loose and fell beneath him, which caused him to fall to the surface dirt, a fall heig ht of 33 feet. Emergency services transported the employee to the hospital, whe re he was admitted for treatment of multiple injuries that included a dislocated and fractured arm, lacerations of the head and face, and a concussion.

Keywords: arm, concrete form work, concrete panel, concussion, dislocated, face, fall, fall protection, falling object, floor hole, fracture, guardrail, handrail, head, installing, laceration, open-sided floor, residential cons
Accident Details
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Other building New project or new addition   3 33

Employee Details
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 1369873.015 28 M Hospitalized injury Construction laborers FallDist:
Cause: Forming

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