Accident Report Detail

Accident Summary Nr: 171058092 - Employee injured when struck by concrete forms

Accident Summary Nr: 171058092 -- Report ID: 0854910 -- Event Date: 09/13/1999
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
301162269	09/14/1999	1771	0	Bcc Pacific

Abstract: Employee #1's company was completing construction of elevated concrete slabs. Employee #1, age 19, was assigned to dismantle the shoring and forms from under an elevated slab. He was removing the last vertical support post, which would then allow the forms to drop to the ground, when one corner of the forms stuck to the slab. The rest of forms pivoted and swung toward Employee #1, striking him on the head. He sustained injuries that required hospitalization.

Keywords: CONCRETE FORM WORK, HEAD, DISMANTLING, STUCK, CONSTRUCTION, STRUCK BY, FALLING OBJECT

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition		$1,000,000 to $5,000,000	7

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	301162269			Hospitalized injury	Concussion	Concrete and terrazzo finishers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Stripping and curing concrete Fatality Cause: Struck by falling object/projectile

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.