Accident Report Detail

Accident Summary Nr: 201488871 - Employee Is Injured in Fall from Concrete Formwork

Accident Summary Nr: 201488871 -- Report ID: 0950622 -- Event Date: 09/15/2006
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
301125886	09/20/2006	1711	238220	Cjs Plumbing, Inc.

Abstract: Employee #1 was working from a 0.75-inch thick plywood overhang that was part of the formwork for the concrete floor of a multi-unit residential building under construction. A portion of the support bracing for the formwork had been removed by another contractor, and the employee fell 15 feet to the ground. He suffered multiple unspecified fractures and was hospitalized for 12 days.

Keywords: CONCRETE FORM WORK, CONSTRUCTION, UNSTABLE SURFACE, BRACE, FALL, CONCRETE, WORK SURFACE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition		$1,000,000 to $5,000,000	2	15

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	301125886			Hospitalized injury	Fracture	Supervisors; plumbers, pipefitters & steamfitters	Distance of Fall: feet Worker Height Above Ground/Floor: 15 feet Cause: Installing plumbing, lighting fixtures Fatality Cause: Fall from roof

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