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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 NrDate OpenedSICNAICSEstablishment Name
1404885.01505/30/2019238110Mountain 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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