Accident Report Detail
Accident Summary Nr: 201405966 - Employees injured in fall when formwork fails
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 127127363 | 04/24/2002 | 1771 | 0 | Adams Bldg Co |
Abstract: On April 10, 2002, Employees #1 through #3 were pouring a concrete floor in place. The formwork failed, causing all three to fall 10 ft and sustain sprains and contusions.
| End Use | Project Type | Project Cost | Stories | Non-building Height | Fatality | ||
|---|---|---|---|---|---|---|---|
| Single family or duplex dwelling | New project or new addition | $250,000 to $500,000 | 2 | ||||
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation | Construction |
|---|---|---|---|---|---|---|---|
| 1 | 127127363 | Non Hospitalized injury | Strain/Sprain | Construction laborers | Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Pouring or installing floor decks Fatality Cause: Collapse of structure |
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| 2 | 127127363 | Non Hospitalized injury | Bruise/Contus/Abras | Construction laborers | Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Pouring or installing floor decks Fatality Cause: Collapse of structure |
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| 3 | 127127363 | Non Hospitalized injury | Bruise/Contus/Abras | Construction laborers | Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Pouring or installing floor decks Fatality Cause: Collapse of structure |
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