Accident Report Detail

Accident Summary Nr: 200331791 - Employee Is Killed in Fall from Slip Form Scaffold

Accident Summary Nr: 200331791 -- Report ID: 0830300 -- Event Date: 09/15/2006
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
310353032	09/15/2006	1771	238110	Mccormick Construction

Abstract: Employee #1 was finishing concrete from a slip form scaffold when fell approximately 110 feet to the ground and was killed.

Keywords: CONCRETE FORM WORK, CONSTRUCTION, FALL, FALL PROTECTION, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Refinery		New project or new addition		$5,000,000 to $20,000,000	12	120	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	310353032			Fatality	Other	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 110 feet Cause: Pouring concrete for piers, and pylons Fatality Cause: Fall from/with scaffold

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