Accident Report Detail

Accident Summary Nr: 201168846 - Employee Is Injured When Column Form Collapses

Accident Summary Nr: 201168846 -- Report ID: 0950641 -- Event Date: 01/15/2007
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
126192558	02/14/2007	1791	238120	Century Reinforcing

Abstract: At approximately 11:20 a.m. on January 15, 2007, Employee #1 was dressing up an 18-in. by 33-in. by 28-ft rebar column. He was putting dobbies on the column to ensure the column was straight and even spaced with the wood form, in preparation for a concrete pour. The column was secured at the bottom and tied at the top of the 15-ft high wood form. At some point, there was insufficient space to install a dobby, so Employee #1 cut a tie wire. He was injured when the column form and rebar fell. He was hospitalized at USC Hospital, for more than three weeks for treatment of three broken ribs, a contusion to his lung and some nerve damage.

Keywords: CONCRETE FORM WORK, FRACTURE, LUNG, COLLAPSE, RIB, CONCRETE, CONTUSION

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition		$5,000,000 to $20,000,000	1	28

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	126192558			Hospitalized injury	Fracture	Construction trades, n.e.c.	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Erecting structural steel Fatality Cause: Collapse of structure

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