Accident Report Detail

Accident Summary Nr: 201040128 - Employee injured in fall when formwork collapses

Accident Summary Nr: 201040128 -- Report ID: 0953220 -- Event Date: 12/02/1996
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
300765989	12/02/1996	1611	0	Frehner Construction Company, Inc.

Abstract: Employee #1 and two coworkers were standing on a formwork scaffold, pouring concrete into the forms. While they were working, the form collapsed and they fell approximately 25 ft to the ground. Employee #1 sustained injuries that required hospitalization.

Keywords: ERECTION PROCESS, CONCRETE FORM WORK, COLLAPSE, WORK RULES, CONSTRUCTION, EQUIPMENT FAILURE, FALL, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Bridge		New project or new addition		$1,000,000 to $5,000,000		25

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	300765989			Hospitalized injury	Fracture	Concrete and terrazzo finishers	Distance of Fall: feet Worker Height Above Ground/Floor: 25 feet Cause: Pouring concrete floor at grade Fatality Cause: Fall from/with scaffold

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