Accident Report Detail

Accident Summary Nr: 119985.015 - Employee falls with concrete formwork column and fractures p

Accident Summary Nr: 119985.015 -- Report ID: 0830500 -- Event Date: 09/13/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1431991.015	09/16/2019		238110	Ds Reinforcement Llc

Abstract: At 8:00 a.m. on September 13, 2019, an employee was climbing a concrete column to attach a rigging strip to formwork. He climbed the column, secured fall prevention and positioning hooks to the formwork, and was attempting to attach the rigging to the formwork in order to remove it. The form, which was not secured in any other fashion, fell backwards with the employee attached. The employee fell approximately six feet to the ground and was crushed underneath the formwork. The employee sustained a fractured pelvis and was hospitalized.

Keywords: Climbing, Climbing On Column, Crushed, Fall, Fall From Elevation, Fall Protection, Falling Object, Form work, Fracture, Pelvis, Rigging, Unsecured

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition				10

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1431991.015	30	M	Hospitalized injury		Concrete and terrazzo finishers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause:

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