Accident Report Detail

Accident Summary Nr: 200332237 - Employee Is Killed in Excavation Cave-In

Accident Summary Nr: 200332237 -- Report ID: 0830300 -- Event Date: 11/17/2009
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
313850166	11/18/2009	1771	238110	J J Concrete, Inc.

Abstract: On November 17, 2009, Employee #1 was installing concrete forms in a residential basement excavation. When a portion of an excavation wall caved in, he was trapped under approximately three ft of sand and killed.

Keywords: CONCRETE FORM WORK, EXCAVATION, SAND, UNSTABLE SOIL, CAVE-IN

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$250,000 to $500,000	1		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	313850166			Fatality	Other	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Pouring concrete foundations and walls Fatality Cause: Wall (earthen) collapse

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