Accident Report Detail

Accident Summary Nr: 130263.015 - Employee attached to concrete forming panel is killed in fal

Accident Summary Nr: 130263.015 -- Report ID: 0729300 -- Event Date: 10/05/2020
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1497025.015	10/07/2020		236220	Mccarthy Building Companies, Inc.

Abstract: At 7:30 a.m. on October 5, 2020, Employee #1, employed by a construction company, was engaged in the construction of a new building. He was dismantling a steel DOKA concrete forming panel. Without first ensuring that the forming panel was connected to the tower crane and thus secured, the employee removed all structural t-bolts holding the forming panel upright . The forming panel broke loose from the concrete and fell to the ground. Employee #1, whose fall protection was attached to the forming panel, fell 19 feet and struck his head against the concrete surface. Employee #1 sustained blunt force traumatic injuries and was killed.

Keywords: Blunt force trauma, Bolt, Brain, Concrete Form Work, Construction, Crane, Demolition, Dismantling, Fall Protection, Fracture, Head, Panel, Skull, Struck Against, Structural Collapse, Unsecured Panel, Untrained

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

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1497025.015	27	M	Fatality		Carpenter apprentices	Distance of Fall: 19 feet Worker Height Above Ground/Floor: 22 feet Cause: Forming for piers or pylons Fatality Cause:

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