Accident Report Detail

Accident Summary Nr: 143990.015 - Employee falls and injures shoulder while operating pump tru

Accident Summary Nr: 143990.015 -- Report ID: 0213100 -- Event Date: 02/14/2022
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1579889.015	02/16/2022		238110	Total Concrete, Inc.

Abstract: At 12:42 p.m on February 14, 2022, Employee #1 was standing on concrete forms operating the hose from the pump truck. The hose became clogged causing it to get an air pocket. When the air pocket cleared, the release of pressure knocked the employee from the forms causing him to fall 11 feet and suffer a shoulder injury. The employee was hospitalized.

Keywords: Air Pressure, Clogged, Concrete Pump, Form work, Hose, Pressure Release, Shoulder

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition			1

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1579889.015	60	M	Hospitalized injury		Construction Laborer	Distance of Fall: 11 feet Worker Height Above Ground/Floor: 11 feet Cause: Pouring concrete foundations and walls Fatality Cause:

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