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Accident Summary Nr: 130486.015 - Employee fractures leg and back in fall from mobile scaffold

Accident Summary Nr: 130486.015 -- Report ID: 0418800 -- Event Date: 10/12/2020
Inspection NrDate OpenedSICNAICSEstablishment Name
1498208.01510/15/2020238110Omni Construction , Llc

Abstract: At 1:00 p.m. on October 12, 2020, an employee working as a carpenter apprentice for a structural concrete contractor was performing form work. A coworker moved the mobile scaffold causing the employee to fall. The employee was hospitalized to treat fractures to his left leg and lower back.

Keywords: Apprentice, Back, Blunt force, Blunt force trauma, Carpenter, Commercial Building, Concrete Form Work, Construction, Fall, Fall From Elevation, Fracture, Leg, Material Handling, Miscommunication, Misjudgment, Misjudgment of Hazardous Situation, Mobile Scaffold, Scaffold
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Commercial building New project or new addition   20

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation Construction
1 1498208.015 21 M Hospitalized injury Carpenter apprentices Distance of Fall: 20 feet
Worker Height Above Ground/Floor: feet
Cause: Forming
Fatality Cause:

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