Accident Report Detail

Accident Summary Nr: 200600039 - Employee killed in fall from elevation

Accident Summary Nr: 200600039 -- Report ID: 0625400 -- Event Date: 02/28/1997
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
123486615	02/28/1997	1542	0	Lyda, Inc.

Abstract: Employee #1 was removing wood forms from a concrete curb that had been poured the day before. He was pulling on a form nail when the head broke off and he lost his balance. Employee #1 fell 42 ft to the ground and was killed.

Keywords: CONCRETE FORM WORK, NAIL, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, LOST BALANCE

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	4	40	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	123486615			Fatality	Concussion	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 42 feet Cause: Forming Fatality Cause: Fall from roof

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