Accident Report Detail

Accident Summary Nr: 14336903 - EMPLOYEE INJURED BY MOVING FORM

Accident Summary Nr: 14336903 -- Report ID: 0418100 -- Event Date: 01/04/1990
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
18345488	01/04/1990	1771	0	Duffee-Forms, Inc.

Abstract: Employee #1 was sitting on a gang form that was leaning against a cement wall. The form slipped and Employee #1 struck his face on the cross bracing of the form as the form hit the floor. Employee #1 sustained lacerations and several teeth were knocked out.

Keywords: WALL, STRUCK AGAINST, LACERATION, FACE

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	18345488			Hospitalized injury	Bruise/Contus/Abras	Occupation not reported

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