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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 201406725 - Employee Killed In Fall From Concrete Form

Accident: 201406725 -- Report ID: 0552651 -- Event Date: 12/03/2002
InspectionOpen DateSICEstablishment Name
12705650512/04/20021771Baker Concrete Construction Inc

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 Proj Type Proj Cost Stories NonBldgHt Fatality
Sewer/water treatment plant New project or new addition $500,000 to $1,000,000 30 X

Employee Details
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 127056505 Fatality Bruise/Contus/Abras Construction laborers FallDist:
Cause: Forming
FatCause: Fall, other

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