Accident Report Detail

Accident Summary Nr: 14515761 - Employee killed in 104 ft fall from concrete form

Accident Summary Nr: 14515761 -- Report ID: 0420600 -- Event Date: 05/08/1984
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1697077	05/09/1984	1522	0	Higley-Reliance Construction Company

Abstract: Employee #1 was helping to assemble a form to support concrete for the 10th floor of a building. He walked out on an aluminum purlin to take a measurement and fell approximately 104 ft to the plaza floor. Employee #1 suffered a skull fracture; fractures of his left fifth, sixth, and seventh ribs; a torn aorta; and fractures of the right scapula, mandible, and maxilla, and left tibia and fibula. He was killed. Employee #1 was not using a safety belt at the time of the accident.

Keywords: CONCRETE FORM WORK, FRACTURE, WORK RULES, SAFETY BELT, CONSTRUCTION, SKULL, FALL, FALL PROTECTION

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1697077			Fatality	Fracture	Occupation not reported

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