Accident Report Detail

Accident Summary Nr: 133781.015 - Employee is killed by sliding metal concrete form

Accident Summary Nr: 133781.015 -- Report ID: 0751910 -- Event Date: 03/03/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1517853.015	03/04/2021		236220	Building Crafts Inc.

Abstract: At 8:30 a.m. on March 3, 2021, an employee stood beside a ninety-four inch by two hundred inch metal concrete form as it was lowered to the floor by a crane. When the form settled onto the floor, it slid towards the employee, who was caught between the form and a wall. The employee was killed by crushing injuries.

Keywords: Caught Between, Concrete Form Work, Crane, Crushed, Crushing, Slid, Wall

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Sewer/water treatment plant		New project or new addition			1		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1517853.015	55	M	Fatality		Carpenter	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause:

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