Accident Report Detail

Accident Summary Nr: 201087194 - Employee Falls from Scaffold and Suffers Concussion

Accident Summary Nr: 201087194 -- Report ID: 0950625 -- Event Date: 12/02/2005
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
306361718	05/01/2006	1542	236220	Vance Corporation

Abstract: At approximately 2:00 p.m. on December 2, 2005, Employee #1 was installing concrete formwork in an excavation that was approximate 20-ft deep. Employee #1 was working on a 14-ft high scaffold without personal fall protection. Employee #1 was holding a 4-ft by 8-ft sheet of plywood when a high wind blew against the plywood and knocked him over the guardrail. Employee #1 suffered a concussion and was hospitalized.

Keywords: CONCRETE FORM WORK, EXCAVATION, HEAD, HIGH WIND, GUARDRAIL, CONSTRUCTION, FALL, FALL PROTECTION, CONCUSSION, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Manufacturing plant		New project or new addition		$20,000,000 and over	1	20

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	306361718			Hospitalized injury	Concussion	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: 14 feet Cause: Forming Fatality Cause: Fall from/with scaffold

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