Accident Report Detail

Accident Summary Nr: 148829.015 - Employee incurs multiple injuries after fall from column for

Accident Summary Nr: 148829.015 -- Report ID: 0950641 -- Event Date: 02/17/2022
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1581704.015	03/03/2022		236220	Bomel Construction Company Inc.

Abstract: At 1:00 p.m. on February 17, 2022, Employee #1 was pouring concrete into a column form 20 ft. high. The employee was standing on the formwork and fell 16-feet. Employee #1 was hospitalized and treated for injuries sustained from the fall.

Keywords: Column, Concrete, Concrete Form Work, Fall, Hospital, Pouring

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1581704.015	55	M	Hospitalized injury		Construction laborers	Distance of Fall: 16 feet Worker Height Above Ground/Floor: 16 feet Cause: Pouring or installing floor decks Fatality Cause:

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