Accident Report Detail

Accident Summary Nr: 200674703 - Employee killed in fall while tying rebars for form

Accident Summary Nr: 200674703 -- Report ID: 0418800 -- Event Date: 02/16/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
307295766	02/17/2004	1542	236220	Kalex Construction And Development, Inc.

Abstract: On February 16, 2004, Employee #1, of Kalex Construction and Development, Inc., was tying rebars for a concrete form when he fell approximately 10 ft. Employee #1 was killed.

Keywords: CONCRETE FORM WORK, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, ELEVATED WORK PLAT, UNSTABLE POSITION

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition		Under $50,000	1		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	307295766			Fatality	Other	Supervisors; carpenters and related workers	Distance of Fall: feet Worker Height Above Ground/Floor: 10 feet Cause: Forming Fatality Cause: Fall from/with scaffold

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