Accident Report Detail

Accident Summary Nr: 118231.015 - Employee falls during seizure and lacerates face

Accident Summary Nr: 118231.015 -- Report ID: 0950632 -- Event Date: 07/01/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1413458.015	07/03/2019		236116	Elwood Staffing Services, Inc.

Abstract: At 2:30 p.m. on July 1, 2019, Employee #1 was building concrete forms at ground level for a new 40-foot concrete tilt-up building. He was drilling holes in flat concrete, and cutting and nailing into the concrete 1.5-inch by 8-foot pieces of wood. The employee began to experience a seizure. He tripped and fell to the ground. The employee was transported to the hospital, where he was treated for two facial lacerations sustained when he fell during the seizure. He was released without hospitalization.

Keywords: Concrete Form Work, Concrete Slab, Construction, Cutting, Drilling, Face, Fall, Fall On Same Level, Laceration, Nail, Seizure, Tripped, Wood Board

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition			1	39

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1413458.015	33	M	Hospitalized injury		Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause:

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