Accident Report Detail

Accident Summary Nr: 201953569 - Employee is impaled after fall from formwork

Accident Summary Nr: 201953569 -- Report ID: 0522000 -- Event Date: 08/22/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
306898818	08/22/2003	1611	237310	C.J. Mahan Construction Company, Llc

Abstract: 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		Project Type		Project Cost	Stories	Non-building Height	Fatality
Bridge		Maintenance or repair		$1,000,000 to $5,000,000	1	13

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	306898818			Hospitalized injury	Puncture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Excavation Fatality Cause: Trench collapse

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