Accident Report Detail

Accident Summary Nr: 171060866 - Employee Injured in Fall While Setting Concrete Forms

Accident Summary Nr: 171060866 -- Report ID: 0854910 -- Event Date: 04/10/2001
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
304407893	04/10/2001	1791	0	Absolute Constructors

Abstract: Employee #1 was setting concrete forms. He stepped on a beam that he thought had been secured. The beam moved, causing him to lose his balance and fall 22 feet. Management did not make it mandatory for employees to be tied off when working at heights. Employee #1 had not received training regarding fall hazards, how to utilize personal fall arrest systems, or the steps that he could take to protect himself. Employee #1 was hospitalized for his injuries.

Keywords: BEAM, UNSECURED, FALL, FALL PROTECTION, LOST BALANCE, TIE-OFF, UNTRAINED, CONCRETE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Tower, tank, storage elevator		New project or new addition		$1,000,000 to $5,000,000		22

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	304407893			Hospitalized injury	Other	Concrete and terrazzo finishers	Distance of Fall: feet Worker Height Above Ground/Floor: 22 feet Cause: Forming Fatality Cause: Fall from/with structure (other than roof)

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