Accident Report Detail

Accident Summary Nr: 201101193 - Employee injured when jaw struck by flying object

Accident Summary Nr: 201101193 -- Report ID: 0950623 -- Event Date: 07/08/1999
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
125672105	10/21/1999	1611	0	Ca Transportaion

Abstract: This employer is the State Department of Transportation in Susanville, California. Employee #1 works for the State as a Maintenance Supervisor. Employee #1 was working at a newly installed emulsion tank. Employee #1 was attempting to vacuum up some spilled material to return it to the emulsion tank. Employee #1 was not familiar with the correct work procedure on this tank. Employee #1 turned on the wrong valve, which caused pressure build up. The build-up of pressure caused a pipe to separate at the capped end of the pipe. The end of the pipe struck Employee #1 on the side of his head, breaking Employee #1's jaw in two places. Employee #1 was hospitalized.

Keywords: FRACTURE, HEAD, VACUUM CLEANER, STRUCK BY, TANK

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Highway, road, street		Maintenance or repair		$250,000 to $500,000

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	125672105			Hospitalized injury	Fracture	Supervisors, n.e.c.	Distance of Fall: feet Worker Height Above Ground/Floor: 2 feet Cause: Other Activities-Installing Ornamental And Archite Fatality Cause: Fall, other

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