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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 130263.015 - Employee Attached To Concrete Forming Panel Is Killed In Fal

Accident: 130263.015 -- Report ID: 0729300 -- Event Date: 10/05/2020
InspectionOpen DateSICEstablishment Name
1497025.01510/07/2020Mccarthy Building Companies, Inc.

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 structu ral t-bolts holding the forming panel upright . The forming panel broke loose f rom 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 con crete surface. Employee #1 sustained blunt force traumatic injuries and was kil led.

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 Proj Type Proj Cost Stories NonBldgHt Fatality
Other building New project or new addition   1 X

Employee Details
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 1497025.015 27 M Fatality Carpenter apprentices FallDist: 19
Cause: Forming for piers or pylons

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