Accident Report Detail

Accident Summary Nr: 14456834 - Employee fractures shoulder in fall from concrete form

Accident Summary Nr: 14456834 -- Report ID: 0854910 -- Event Date: 01/15/1985
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
15187404	01/15/1985	1542	0	Weyher Brothers Company

Abstract: At 11:40 a.m. on January 15, 1985, Employee #1 was working on a concrete form. He needed a 40 in. by 40 in. piece of plywood to finish the flooring. Having cut a piece of plywood at floor level, Employee #1 stepped down 18 in. to the form. Turning to get the piece of plywood, he lost his balance and fell 12 ft through a hole to the concrete floor. He then rolled off this floor and fell another 12 ft to the ground. Employee #1 broke a bone in his left shoulder, for which he was hospitalized.

Keywords: CONCRETE FORM WORK, FRACTURE, SHOULDER, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, FLOOR OPENING, LOST BALANCE, UNGUARDED

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	15187404			Hospitalized injury	Fracture	Carpenters

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