Accident Report Detail

Accident Summary Nr: 170395669 - Employee killed in fall from metal bracket form scaffold

Accident Summary Nr: 170395669 -- Report ID: 0215800 -- Event Date: 11/04/1994
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
101546075	11/04/1994	1771	0	Timothy L. Carey/Dba Tlc Contracting Company

Abstract: Employee #1 was working off a metal bracket form scaffold, approximately 12 1/2 feet above the base level of an elevator shaft. The work consisted of placing concrete in the formwork for the basement walls using an articulating boom concrete pumping truck. The employee may have suffered an epileptic seizure prior to falling off the scaffold, which was not provided with standard guardrails. He struck his head on wooden studs on the bottom of the elevator shaft and died.

Keywords: HEAD, GUARDRAIL, WORK RULES, STRUCK AGAINST, CONSTRUCTION, SEIZURE, FALL, FALL PROTECTION, ELEVATOR SHAFT, SCAFFOLD

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	101546075			Fatality	Fracture	Occupation not reported

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