Accident Report Detail

Accident Summary Nr: 200151280 - Employee killed in fall from work platform

Accident Summary Nr: 200151280 -- Report ID: 0214700 -- Event Date: 11/20/2007
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
311132617	11/21/2007	1541	236210	Frame To Finish Inc.

Abstract: On November 20, 2007, Employee #1 was standing on a metal platform, doing form work, when the platform shifted and he fell approximately 13 ft 6 in. to the next level. Employee #1 died of injuries sustained in the fall.

Keywords: CONCRETE FORM WORK, UNSECURED, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, BRACING, ELEVATED WORK PLAT, WORK PLATFORM

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$500,000 to $1,000,000	2	13	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	311132617			Fatality	Other	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 13 feet Cause: Forming Fatality Cause: Fall from/with scaffold

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