Accident Report Detail

Accident Summary Nr: 127899.015 - Employee steps on unsecured cantilevered formwork panel, fal

Accident Summary Nr: 127899.015 -- Report ID: 0215000 -- Event Date: 07/20/2020
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1484266.015	07/20/2020		238110	Source Construction Inc.

Abstract: At 7:30 a.m. on July 20, 2020, an employee prepared to install a cable railing when, at some point, the employee stepped onto an unsupported, cantilevered formwork panel that broke after the employee stepped onto it. The employee fell ninety feet and was killed.

Keywords: Fall, Fall Protection, Installing, Panel, Raised platform, Unsecured, Unsecured Panel, Unstable Surface

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition			11		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1484266.015	30	M	Fatality		Carpenters	Distance of Fall: 90 feet Worker Height Above Ground/Floor: 90 feet Cause: Interior carpentry Fatality Cause:

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