Accident Report Detail

Accident Summary Nr: 201407343 - Employee electrocuted while working in open basement

Accident Summary Nr: 201407343 -- Report ID: 0552651 -- Event Date: 01/14/2005
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
304939457	01/18/2005	1771	238110	Tri State Concrete Services Inc

Abstract: On January 14, 2005, Employee #1 was stripping concrete forms in the open basement of a single-family home. He was later found, face down, in a small amount of water in the basement. There was a defective electrical cord lying in the water. Employee #1 had been electrocuted.

Keywords: CONCRETE FORM WORK, ELECTRICAL, ELECTROCUTED, CONSTRUCTION, ELECTRICAL WORK, ELEC CIRC PART--MISC, ELECTRIC CORD, WATER

Accident Details
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			X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	304939457			Fatality	Electric Shock	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause: Electrocution by touching exposed wire/source

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