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Accident Report Detail

Accident Summary Nr: 116725.015 - Employee incurs multiple injuries when struck by collapsing

Accident Summary Nr: 116725.015 -- Report ID: 0950615 -- Event Date: 05/29/2019
Inspection NrDate OpenedSICNAICSEstablishment Name
1404973.01505/31/2019238110Berkeley Cement Inc.

Abstract: At 1:35 p.m. on May 29, 2019, Employee #1 and Coworkers #1 and #2, employed by a cement construction company, were working at the construction site for a new hotel. They were removing the Pro-Shore system, which was used to create formwork for the cement poured to create the second floor above. The three employees were removing the joist and main beams of the Pro-Shore system in various bays under the poured concrete. Coworker #1, working from a forklift, was going from bay to bay and loosening the main beams by hitting the star nut, the piece that supports the beams, and then removing the joist and beam and handing them to Employee #1 and Coworker #2 on ground level. Coworker #1, seeing that something wasn't right, told the other employees to stand back, at which time the bay collapsed. The main beam swung out and struck Employee #1 in the face and shoulder, and Employee #1 fell to the ground and lost consciousness. Employee #1 was transported to the hospital, where he was admitted for treatment of a fractured face, fractured left shoulder, and head injuries.

Keywords: Blunt force trauma, Cementing, Concrete Form Work, Construction, Dismantling, Face, Fall, Fracture, Head, Joist, Scissor lift, Shoulder, Steel Beam, Steel Erection, Struck By, Structural Collapse, Unconsciousness
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Commercial building New project or new addition  

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation Construction
1 1404973.015 36 M Hospitalized injury Carpenter apprentices Distance of Fall: feet
Worker Height Above Ground/Floor: feet
Cause: Erecting structural steel
Fatality Cause:

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