Accident Report Detail

Accident Summary Nr: 201041233 - Employee struck by concrete debris

Accident Summary Nr: 201041233 -- Report ID: 0953220 -- Event Date: 12/20/2002
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
306116336	12/19/2002	1711	0	Hansen Mechanical Contractors, Inc.

Abstract: At approximately 8:30 a.m. on December 20, 2002, Employee #1 was struck by timber bracing during the removal of concrete forms. He was welding a pipe on the roof deck. Employee #1 was on his hands and knees with his back to the area where the forms were being removed. He was approximately 10.5 feet from the concrete wall and as tension was released on the form, a piece of unsecured wood bracing came loose and fell. The 10.75 feet bracing was suspended approximately 8 feet in the air and fell, striking the employee on the upper back and neck area. Employee #1 suffered minor bruises and was transported to a local hospital for observation and later released.

Keywords: UNSECURED, WELDING, BACK, STRUCK BY, BRACING, FALLING OBJECT, CONCRETE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition		$20,000,000 and over	16	180

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	306116336			Non Hospitalized injury	Bruise/Contus/Abras	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Other Activities-Post Decking Detail Work Fatality Cause: Struck by falling object/projectile

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