Accident Report Detail

Accident Summary Nr: 200650448 - Employee Dies from Asphyxiation - Struck by Concrete Forms

Accident Summary Nr: 200650448 -- Report ID: 0521100 -- Event Date: 04/26/2001
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
304009269	04/27/2001	1531	0	J B Carpenters Inc

Abstract: Employee #1 died from asphyxiation after being struck by a concrete form not adequately braced.

Keywords: CONCRETE FORM WORK, ASPHYXIATED, UNSECURED, STRUCK BY

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Excavation, landfill		New project or new addition		Under $50,000		8	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	304009269			Fatality	Asphyxia	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Pouring concrete foundations and walls Fatality Cause: Collapse of structure

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