Accident Report Detail

Accident Summary Nr: 201580107 - Employee crushed by concrete form

Accident Summary Nr: 201580107 -- Report ID: 1032300 -- Event Date: 03/04/1999
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
301186151	03/05/1999	1629	0	Advanced American Diving Service, Inc.

Abstract: On March 4, 1999, Employee #1 was working as the lead man of a form stripping crew under a new concrete pier. Support beams for the form work had been removed leaving large 12 ft by 12 ft pre-manufactured forms and filler plywood adhered to the under side of the concrete pier. A single chain and job-made metal clips wired to the chain secured the 12 ft by 12 ft sections. While pulling construction debris from the water, the crew pulled under some forms that were not stripped. As Employee #1 crossed the barge, one of the 12 ft by 12 ft panels weighing 1,800 lbs pulled loose from the ceiling. Either the form knocked the clip off or the clip had already fallen off, allowing the panel to fall on Employee #1, crushing him.

Keywords: CHAIN, CONCRETE FORM WORK, PIER, WORK RULES, CONSTRUCTION, CRUSHED, FALLING OBJECT, EQUIPMENT APPROVAL

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Shoreline development, dam, reservoir		New project or new addition		$1,000,000 to $5,000,000		15	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	301186151			Fatality	Other	Concrete and terrazzo finishers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming for piers or pylons Fatality Cause: Struck by falling object/projectile

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