Accident Report Detail

Accident Summary Nr: 201205036 - Worker Sustains Concussion in Arrested Fall

Accident Summary Nr: 201205036 -- Report ID: 1054114 -- Event Date: 06/20/2013
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
316946748	06/21/2013	1771	238110	Associated Cement Contractors Inc

Abstract: On June 20, 2013, Employee #1, of Associated Cement Contractors Inc., was engaged in forming work as part of the construction of a new parking structure. He was working on the sixth floor when he slipped and fell to the concrete form. He hit the edge of the form and then bounced and hit the support for the scaffold. His retractable fall arrest device locked and arrested his fall. He was suspended just above the fifth floor. Emergency services were called. Employee #1 was rescued and transported to the hospital. He was admitted and treated for a concussion.

Keywords: CONCRETE FORM WORK, HEAD, STRUCK AGAINST, CONSTRUCTION, FALL, FALL PROTECTION, CONCUSSION, BRAIN, CONCRETE, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition		$250,000 to $500,000	6	48

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	316946748			Hospitalized injury	Concussion	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 7 feet Cause: Forming Fatality Cause: Fall, other

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