Accident Report Detail

Accident Summary Nr: 171056898 - Employee injured when weld on concrete form fails

Accident Summary Nr: 171056898 -- Report ID: 0854910 -- Event Date: 09/08/1998
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
126792647	09/09/1998	1542	0	Jacobson/Okland

Abstract: Employee #1 was moving a concrete form when a weld failed and the form fell out from under him. Employee #1 sustained some large splinters in his leg as the form dropped. He was wearing a safety harness and was tied off at the time of the accident.

Keywords: SPLINTER, CONCRETE FORM WORK, UNSECURED, BROKEN WELD, CONSTRUCTION, EQUIPMENT FAILURE, LEG

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition		$20,000,000 and over	23

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	126792647			Hospitalized injury	Amputation	Supervisors; brickmasons, stonemasons, tilesetters	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause: Collapse of structure

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