Accident Report Detail

Accident Summary Nr: 201856432 - Employee Killed And Another Injured When Form Fails

Accident Summary Nr: 201856432 -- Report ID: 0452110 -- Event Date: 11/22/2002
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
305909269	11/22/2002	1611	237310	R.J. Corman Railroad Construction, Llc

Abstract: Employee #1 and Employee #2 were part of a crew pouring concrete for a retaining wall. A railroad boxcar was one side of the pour and the Symons form was on the other. There were ties heated and bent to hold them together. When concrete was poured to make a retaining wall, the ties broke. Employee #2 was trapped at his waist. Employee #1 was struck by the Trac-hoe bucket when he passed between the bucket and the non-form side of the boxcar while bringing a shovel for Employee #2. Employee #2 did not require hospitalization. Employee #1 was killed.

Keywords: CONCRETE FORM WORK, PINNED, EQUIPMENT FAILURE, STRUCK BY, CONCUSSION, CONCRETE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other heavy construction		New project or new addition		$500,000 to $1,000,000			X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	305909269			Fatality	Concussion	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause: Collapse of structure
2	305909269			Non Hospitalized injury	Other	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause: Collapse of structure

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