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Accident Summary Nr: 117748.015 - Employee fractures back in fall while disassembling concrete

Accident Summary Nr: 117748.015 -- Report ID: 0522300 -- Event Date: 07/03/2019
Inspection NrDate OpenedSICNAICSEstablishment Name
1413683.01507/09/2019238140Bogner Construction Company

Abstract: At 8:15 a.m. on July 3, 2019, Employee #1 was disassembling concrete forms from a concrete wall and was traversing the face of the form when Employee #1 fell approximately 16 feet. Employee #1 was wearing a full body harness and does not recall what caused the fall. Employee #1 suffered a fractured back and wrist and was hospitalized.

Keywords: Back, Concrete, Concrete Form Work, Disassemble, Fall, Fall Protection, Fracture, Harness, Hospital, Moving, Wall, Wrist
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Commercial building New project or new addition   0 16

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury
1 1413683.015 50 M Hospitalized injury

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