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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 201953569 - Employee Is Impaled After Fall From Formwork

Accident: 201953569 -- Report ID: 0522000 -- Event Date: 08/22/2003
InspectionOpen DateSICEstablishment Name
30689881808/22/20031611C.J. Mahan Construction Company, Llc

On August 22, 2003, Employee #1, a carpenter, was dismantling concrete bridge pier formwork. After unfastening his fall protection to relocate to the opposite side of a wall, he stepped on a scaffold plank and lost his balance. He momentarily caught a piece of lumber nailed to a bulk head, however it failed and Employee #1 fell 13 ft onto a 0.625-in., 4-ft-long jack-tie that entered through the right side of his rib cage and exited through his right shoulder. Employee #1 was hospitalized for extensive surgery to remove the jack-tie and treat a collapsed lung.

Keywords: concrete form work, lung, impaled, carpenter, torso, rib, fall, lost balance, concrete, scaffold
Accident Details
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Bridge Maintenance or repair $1,000,000 to $5,000,000 1 13

Employee Details
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 306898818 Hospitalized injury Puncture Occupation not reported FallDist:
Cause: Excavation
FatCause: Trench collapse

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