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Accident Report Detail

Accident Summary Nr: 141221.015 - Employee is killed in trench collapse

Accident Summary Nr: 141221.015 -- Report ID: 0830500 -- Event Date: 11/16/2021
Inspection NrDate OpenedSICNAICSEstablishment Name
1564492.01511/18/2021236116A4s Llc

Abstract: At 4:00 p.m. on November 16, 2021, Employee #1 was inside a trench installing a water utility system. As the employee was working, the trench collapsed burying and killing Employee #1.

Keywords: Buried, Collapse, Crushing, Installing, Trench
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Multi-family dwelling New project or new addition   0 X

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation Construction
1 1564492.015 21 M Fatality Construction laborers Distance of Fall: feet
Worker Height Above Ground/Floor: feet
Cause: Excavation
Fatality Cause:

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