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Accident Report Detail
Accident Summary Nr: 200771269 - Two employees injured when concrete form fell onto scaffold
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 303805220 | 03/28/2001 | 1622 | 0 | Shea/Traylor/Healy, Joint Venture |
Abstract: Two employees were working in a tunnel at the base of an associated shaft, removing concrete forms while standing on tubular welding scaffolding. When an employee applied pressure to a section of concrete form it separated from the shaft wall and tunnel roof interface and fell onto the scaffold, causing the two employees to fall sixteen feet to the tunnel floor. Employee #1 fractured his wrist, had a head laceration, and fractured a vertebra. Employee #2 received back contusions.
Keywords:
CONCRETE FORM WORK, FRACTURE, HEAD, CONSTRUCTION, LACERATION, FALL, VERTEBRA, CONTUSION, WRIST
| End Use | Project Type | Project Cost | Stories | Non-building Height | Fatality | ||
|---|---|---|---|---|---|---|---|
| Pipeline | Other | $20,000,000 and over | 1 | 16 | |||
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation | Construction |
|---|---|---|---|---|---|---|---|
| 1 | 303805220 | Hospitalized injury | Fracture | Construction laborers | Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause: Struck by falling object/projectile |
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| 2 | 303805220 | Non Hospitalized injury | Bruise/Contus/Abras | Construction laborers | Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause: Struck by falling object/projectile |