Accident Report Detail

Accident Summary Nr: 201271350 - Employee fell and died after bridge form fell

Accident Summary Nr: 201271350 -- Report ID: 0418300 -- Event Date: 10/10/2001
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
304711351	10/11/2001	1622	0	R. R. Dawson Bridge Company, Llc

Abstract: On October 10, 2001, an employee of R.R. Dawson Bridge Company was working on the top of a concrete form. The form fell over causing the employee to fall approximately 60 ft to the ground. The employee died of fractures.

Keywords: CONCRETE FORM WORK, FALL, BRIDGE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Bridge		New project or new addition		$5,000,000 to $20,000,000		60	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	304711351			Fatality	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 60 feet Cause: Forming Fatality Cause: Fall from/with structure (other than roof)

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