Accident Report Detail

Accident Summary Nr: 170063580 - Employee hospitalized after falling 60 ft in dam

Accident Summary Nr: 170063580 -- Report ID: 0453710 -- Event Date: 04/29/1992
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
18477927	05/01/1992	1629	0	Blythe Industries, Inc.

Abstract: Employee #1, a carpenter, was installing concrete formwork and scaffolding on the Mackintosh Dam near Blythe Industries Management. He was 560 ft high on a scaffold helping to locate and install the steel rods used to hold the wooden forms and scaffolding in place. When the concrete pour was almost complete, Employee #1 adjusted the forms in or out to align with a string line using a nut and bearing plate on the threaded rods. As he worked, a form in the middle of the pour moved, causing concrete, formwork, and scaffolding to fall. Employee #1 fell approximately 60 feet to the base of the dam. He was removed from the wet concrete and taken to the hospital by crew personnel.

Keywords: CONCRETE FORM WORK, DAM, CONSTRUCTION, FALL PROTECTION, SCAFFOLD

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	18477927			Hospitalized injury	Fracture	Carpenters

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