Accident Report Detail
Accident Summary Nr: 170606222 - Employee injured in fall, unsecured lanyard
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 120048269 | 01/11/1994 | 1799 | 0 | Sure Forming Systems, Inc. |
Abstract: At about 10:30 a.m. on January 10, 1994, Employee #1 was installing splice whalers on wall forms on the exterior of a new structure. He was standing on a whaler about nine feet above the work platform that was 13 feet above a concrete deck. He was wearing a safety belt with lanyard. The lanyard was not secured to a substantial member of the structure and of a securely rigged line. Employee #1 fell and hit the top rail of the work platform, he went over that rail and fell to the concrete deck sustaining fractures requiring hospitalization.
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 120048269 | Hospitalized injury | Fracture | Specified mechanics and repairers |
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