Accident Report Detail

Accident Summary Nr: 14464796 - FALL FROM METAL BRACKET FORM SCAFFOLD.

Accident Summary Nr: 14464796 -- Report ID: 0551800 -- Event Date: 11/12/1984
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
14744924	11/13/1984	1794	0	Edward Gray Corporation

Abstract: EMPLOYEE #1 STARTED INSTALLING 80 LB FORM PANELS ON THE WEST WALL OF A 60' X 40' X 31' DEEP, WET WELL SCALE PIT. HE WAS WORKING FROM A 160' LONG BY 24" WIDE BY 17' HIGH, METAL FORM BRACKET SCAFFOLD. WHEN WORK STARTED AFTER THE 10 AM COFFEE BREAK, EMPLOYEE NUMBER 1 STATED THAT HE WAS DIZZY. HE WAS TOLD TO KNEEL DOWN ON THE SCAFFOLD. WHEN HE DID, HE PASSED OUT AND FELL BETWEEN THE MIDRAIL & WORK PLATFORM PLANKS, 17' TO THE BOTTOM OF THE PIT. AT THIS TIME ALL TESTS POINT TO A HIP FRACTURE.

Keywords: FRACTURE, UNCONSCIOUSNESS, DIZZINESS, FALL, HIP, SCAFFOLD

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	14744924			Hospitalized injury	Fracture	Carpenters

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