Accident Report Detail

Accident Summary Nr: 201523420 - Employee is injured from fall off a concrete form

Accident Summary Nr: 201523420 -- Report ID: 0111500 -- Event Date: 03/12/2010
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
314066606	03/12/2010	1611	237310	Walsh Construction Company

Abstract: On March 12th, 2010 Employee #1 of Walsh Construction Company, fell less than 17 ft. to the ground while working from a concrete form. Employee #1 sustained multiple leg fractures.

Keywords: FRACTURE, FALL, LEG

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Bridge		New project or new addition		$20,000,000 and over		17

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	314066606			Hospitalized injury	Fracture	Carpenters	Distance of Fall: feet Worker Height Above Ground/Floor: 17 feet Cause: Forming Fatality Cause: Fall from/with structure (other than roof)

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