Accident Report Detail

Accident Summary Nr: 200082550 - Employee Fractures Leg When Concrete Form Falls Over

Accident Summary Nr: 200082550 -- Report ID: 0112000 -- Event Date: 03/14/2006
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
308277177	03/14/2006	1541	236220	Bartlett Brainard Eacott, Inc.

Abstract: On March 14, 2006, Employee #1 was a carpenter working in construction. He was standing on a foundation form and was in the process of attaching clamps elevated by a crane, when the form tipped over. Employee #1 fell approximately 5 feet onto a concrete deadman anchor, and the foundation form fell onto his leg, fracturing it. He was hospitalized.

Keywords: CONCRETE FORM WORK, FRACTURE, CARPENTER, CONSTRUCTION, FALL, CONCRETE BLOCK, FALLING OBJECT, LEG

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition		$20,000,000 and over	7	80

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	308277177			Hospitalized injury	Fracture	Carpenters	Distance of Fall: feet Worker Height Above Ground/Floor: 5 feet Cause: Forming for piers or pylons Fatality Cause: Fall from/with structure (other than roof)

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