Accident Report Detail

Occupational Safety and Health Administration OSHA

Accident: 201406725 - Employee Killed In Fall From Concrete Form

**Accident: 201406725 -- Report ID: 0552651 -- Event Date: 12/03/2002**
Inspection	Open Date	SIC	Establishment Name
127056505	12/04/2002	1771	Baker 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: FallHt:27 Cause: Forming FatCause: Fall, other

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Occupational Safety and Health Administration OSHA