Accident Report Detail

Accident Summary Nr: 201352390 - Employee killed by steel concrete form

Accident Summary Nr: 201352390 -- Report ID: 0419700 -- Event Date: 02/05/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
306749193	02/06/2004	1542	236220	Trustmark South Inc.
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
306748955	02/06/2004	1771	238110	Ard Contracting, Inc.

Abstract: On February 5, 2004, Employee #1 was assisting with the lowering of a large steel concrete form to the ground. The form was 20 ft by 12 ft and weighed 6840 lbs. The form was being lowered by a Manitowac crane from a condominium under construction. The crane operator could not see the placement of the form on the ground and was receiving instructions from the signalman via a radio. The form was lowered to about 20 ft from the ground and held in place by the crane, while Employee #1 and a signalman grabbed the taglines to stabilize the form. The signalman then instructed the crane operator to lower the form. He stopped lowering when the form was about 2 ft from the ground. The signalman instructed Employee #1 to go to the other side of the form to ensure that nothing was going to fall off or foul the tagline. The signalman looked up at the cables to ensure that they were not tangled and instructed the crane operator to lower the form to the ground. When the signalman looked at the other end of the form, he observed that Employee #1 was under the form. Employee #1 was crushed by the weight of the steel form. He was killed.

Keywords: HEAD, CONCRETE, FRACTURE, STEEL, CARPENTER, CONSTRUCTION, CAUGHT BETWEEN, CRUSHED, CRANE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition		$5,000,000 to $20,000,000	8		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	306749193					Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Fatality Cause:
2	306748955			Fatality	Fracture	Carpenters	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause: Crushed/run-over of non-operator by operating cons

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