Accident Report Detail

Accident Summary Nr: 116707.015 - Employee falls from scaffold, injures rib and wrist

Accident Summary Nr: 116707.015 -- Report ID: 0854910 -- Event Date: 05/24/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1404885.015	05/30/2019		238110	Mountain States Contractors

Abstract: At 2:00 p.m. on May 24, 2019, Employee #1, employed by a concrete construction company, was working at a residential construction project. He was removing scaffolding from concrete forms. The scaffolding was not secure, causing the employee to fall a height of 12 feet and strike the ground and a piece of rebar. The employee received treatment for a fractured rib and a sprained wrist but was not hospitalized.

Keywords: Blunt force trauma, Concrete Form Work, Dismantling, Fall, Fall Protection, Fracture, Rebar, Residential Construction, Rib, Scaffold, Sprain, Struck Against, Unsecured, Wrist

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition			1

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1404885.015	30	M	Non Hospitalized injury		Concrete and terrazzo finishers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Pouring concrete foundations and walls Fatality Cause:

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