Accident Report Detail

Accident Summary Nr: 170561112 - Employee injured in fall trying to avoid loose pipe

Accident Summary Nr: 170561112 -- Report ID: 0453720 -- Event Date: 08/25/1994
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
111103867	08/25/1994	1771	0	Dee Shoring Company Inc.

Abstract: Employee #1 was disassembling metal wall form bracing. He was climbing a form and reached up to a 4 in. by 12 ft pipe brace, which was missing its fastening screw. The pipe fell toward him, and, thinking the 200 lb pipe was loose on both ends and would fall on him, Employee #1 jumped away. He fell 12 ft to a concrete floor, sustaining bruises and cuts, and stitches on his head and left elbow. He is expected to be back at work by his next shift.

Keywords: HEAD, DISMANTLING, UNSECURED, CONSTRUCTION, LACERATION, FALL, PIPE, ELBOW, CONTUSION

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	111103867			Non Hospitalized injury	Cut/Laceration	Construction laborers

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