Accident Report Detail
Accident Summary Nr: 201923323 - Employee Is Struck and Killed by Falling Concrete Form
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 306482837 | 10/15/2004 | 1622 | 237310 | Traylor Bros., Inc. |
Abstract: Employee #1 was drilling holes for bolts on a concrete form, and was crushed when the form shifted and fell on him. Employee #1 was killed.
| End Use | Project Type | Project Cost | Stories | Non-building Height | Fatality | ||
|---|---|---|---|---|---|---|---|
| Bridge | New project or new addition | $20,000,000 and over | X | ||||
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation | Construction |
|---|---|---|---|---|---|---|---|
| 1 | 306482837 | Fatality | Other | Carpenters | Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming for piers or pylons Fatality Cause: Collapse of structure |
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