Accident Report Detail

Accident Summary Nr: 200921633 - Employees Injured by Falling Materials

Accident Summary Nr: 200921633 -- Report ID: 0355111 -- Event Date: 11/01/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
308114537	11/02/2004	1741	238140	Kelly Carver Masonry, Inc.

Abstract: At approximately 2:35 p.m., on November 1, 2004, Employees #1, #2, and #3 were laying blocks for a closet adjacent to a 26-foot block wall. A forklift operator on the other side of the wall pushed the scaffold into the block wall while trying to remove a mortar pan sitting on a pallet on the scaffold. The blocks from the wall and an I-beam fell into the closet area, injuring Employees #1, #2, and #3. All were hospitalized for the injuries they sustained from the falling materials.

Keywords: BEAM, FRACTURE, BLOCKS, INDUSTRIAL TRUCK, LACERATION, CONCRETE BLOCK, FALLING OBJECT, CONCRETE, CONTUSION, SCAFFOLD

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

Employee Details
Employee #	Inspection Nr	Degree of Injury	Nature of Injury	Occupation	Construction
1	308114537	Hospitalized injury	Cut/Laceration	Brickmasons and stonemasons	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Bituminous concrete placement Fatality Cause: Collapse of structure
2	308114537	Hospitalized injury	Bruise/Contus/Abras	Brickmasons and stonemasons	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Bituminous concrete placement Fatality Cause: Collapse of structure
3	308114537	Hospitalized injury	Fracture	Brickmasons and stonemasons	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Bituminous concrete placement Fatality Cause: Collapse of structure

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