Accident Report Detail

Accident Summary Nr: 134370.015 - Employee incurs multiple injuries when structure collapses

Accident Summary Nr: 134370.015 -- Report ID: 0521400 -- Event Date: 12/28/2020
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1508075.015	12/28/2020		238120	Mid-States Concrete Industries, Llc

Abstract: At 12:30 p.m. on December 28, 2020, Employee #1 and a coworker were installing precast planks on a new multifamily building on the second story. There was one plank left on the second story to install, and as the employees were preparing to install the plank, the structure caved into the first story and then collapsed to the lower level/basement which was ground level. The two employees working on the deck went down with the collapse from the second story deck. Employee #1 was hospitalized for three days to treat multiple injuries to the hand, wrist, and gluteus. The employees did not shore the beams that the planks rested on, causing the collapse.

Keywords: Beam, Cave-In, Collapse, Fall, Fall From Elevation, Hand, Installing, Plank, Residential Construction, Shoring, Wrist

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition			2

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1508075.015	36	M	Hospitalized injury		Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Installation Of Decking-Hoisting Bundles Fatality Cause:

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