Accident Report Detail

Accident Summary Nr: 200552685 - Employee Is Killed When Concrete Formwork Collapses

Accident Summary Nr: 200552685 -- Report ID: 0625700 -- Event Date: 09/16/2002
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
304479132	09/17/2002	1542	236220	Construction South Contractors

Abstract: On September 16, 2002, Employee #1, with Construction South, Inc., was erecting 16-ft-tall formwork for a concrete placement. The foreman and a coworker were aligning the formwork while Employee #1 and another coworker were tied off to the top of the formwork. As they were working, the formwork collapsed and Employee #1 and his coworker fell. Employee #1 was killed and two of his coworkers sustained injuries.

Keywords: CONCRETE FORM WORK, COLLAPSE, UNSECURED, CONSTRUCTION, EQUIPMENT FAILURE, FALL, FALL PROTECTION

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition		$5,000,000 to $20,000,000	6		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	304479132			Fatality	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 69 feet Cause: Forming Fatality Cause: Fall, other

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