Accident Report Detail

Accident Summary Nr: 201406725 - Employee killed in fall from concrete form

Accident Summary Nr: 201406725 -- Report ID: 0552651 -- Event Date: 12/03/2002
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
127056505	12/04/2002	1771	238110	Baker Concrete Construction Inc

Abstract: On December 3, 2002, a construction employee was climbing a concrete form to remove the crane hook after the concrete had set. At an elevation of approximately 27 feet, the employee lost his balance and fell from the form to the ground. The employee was killed.

Keywords: CONCRETE FORM WORK, CONCRETE SLAB, CRANE HOOK, CONSTRUCTION, FALL, FALL PROTECTION, LOST BALANCE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Sewer/water treatment plant		New project or new addition		$500,000 to $1,000,000		30	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	127056505			Fatality	Bruise/Contus/Abras	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: 27 feet Cause: Forming Fatality Cause: Fall, other

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.