TranslateAccident Report Detail
Accident: 170110068 - Employees Bruised In Fall When Support Forms Fail
| Inspection | Open Date | SIC | Establishment Name |
|---|---|---|---|
| 107317943 | 08/20/1991 | 1542 | Brisk Waterproofing Company |
Employees #1 through #4 were edging a 10 ft by 18 ft section of a poured concrete floor when forms supporting the concrete failed, causing the section to collapse. The employees fell 9 feet to the next floor below and suffered bruises. The project consisted of rehabilitating concrete decking of an existing garage. Joists were supported by 2 by 4s and 2 by 8s bolted to the existing concrete beam. Eccentric loads on expansion-type anchor bolts and washers, spaced 3 ft o.c. along the 2 by 8s, created shear and additional tension. Forces may have exceeded the structural capacity of the bolts, washers, and wood members. The forms were not designed by a structural engineer and no design, drawing, or plans of the forms were found at the job site.
| Employee # | Inspection | Age | Sex | Degree | Nature | Occupation |
|---|---|---|---|---|---|---|
| 1 | 107317943 | Non Hospitalized injury | Bruise/Contus/Abras | Occupation not reported | ||
| 2 | 107317943 | Non Hospitalized injury | Bruise/Contus/Abras | Occupation not reported | ||
| 3 | 107317943 | Non Hospitalized injury | Bruise/Contus/Abras | Occupation not reported | ||
| 4 | 107317943 | Non Hospitalized injury | Bruise/Contus/Abras | Occupation not reported |