Accident Report Detail

Accident Summary Nr: 117420.015 - Employee is injured when nail breaks and flies into eye

Accident Summary Nr: 117420.015 -- Report ID: 0522500 -- Event Date: 06/19/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1410968.015	06/26/2019		238110	Sam'S Excavating Unlimited

Abstract: At 11:45 a.m. on June 19, 2019, Employee #1 and coworkers were setting wall forms for a residential home's basement. Employee #1 was using a hammer and attempting to drive a nail through the bottom corner of a form to the concrete pad. The nail broke and flew into the employee's right eye. The employee was transported to the hospital and admitted for treatment of the eye impalement.

Keywords: Concrete Form Work, Equipment Failure, Eye, Hammer , Impaled, Installing, Nail, Projectile, Residential Construction, Struck By, Wall

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

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Construction
1	1410968.015	35	M	Hospitalized injury		Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Pouring concrete foundations and walls Fatality Cause:

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