Accident Report Detail

Accident Summary Nr: 170363246 - Employee injured when struck by falling form work

Accident Summary Nr: 170363246 -- Report ID: 0950623 -- Event Date: 10/15/1996
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
120181300	11/05/1996	1751	0	Mcclone Construction Co.

Abstract: Employee #1 was the labor foreman for a construction company that was doing the form work for a concrete addition. She and a crew were on the third floor removing the form work for the ceiling. The support bracing that extended from the floor to the ceiling had been taken down. Employee #1 was using an approximately 13 ft long crowbar to remove a section of form work that had partially broken free from the ceiling when another section of unsupported form work came down on her. Employee #1 fractured her thoracic and lumbar vertebrae (T12 and L1), and ruptured her lumbar vertebra L5. The cause of the accident was working under unsupported form work that was held in place only by adhesion to the cement ceiling.

Keywords: CONCRETE FORM WORK, FRACTURE, UNSECURED, CONSTRUCTION, BACK, STRUCK BY, FALLING OBJECT, VERTEBRA

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120181300			Hospitalized injury	Fracture	Construction trades, n.e.c.

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