Accident Report Detail

Accident Summary Nr: 202003851 - Eight employees injured when forms for access ramp collapsed

Accident Summary Nr: 202003851 -- Report ID: 0317000 -- Event Date: 02/10/2000
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
302626528	02/10/2000	1731	0	Mjk Electric Corporation
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
302626502	02/10/2000	1542	0	L.F. Driscoll Co./Artis T. Ore, Inc.,Joint Venture
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
302626510	02/10/2000	1771	0	The Pietrini Corp. T/A B. Pietrini & Sons

Abstract: On February 10, 2000, eight workers were injured when the formwork for a three-story-high concrete vehicle access ramp collapsed. The formwork was constructed without any shop drawings. The PERI formwork system was new to the carpenters who constructed it. In addition, they had received no training on proper erection procedures for the system in a stacked tower configuration. The workers, who were cement finishers, laborers, and an electrician, and were on the ramp formwork at the time of the collapse, sustained various serious injuries when they fell along with the formwork, rebar and 23-yards of freshly placed concrete. By not having the drawings and not being trained, the carpenters assembled a formwork system that was missing up to 50 of the minimum necessary components required by PERI. In addition, the company had created makeshift mudsills that were unstable, due to the use of various components of differing dimensions. The injured workers fell approximately 33 feet, and were hospitalized with concussions, chemical burns, sprains and other injuries.

Keywords: CONCRETE FORM WORK, CONCUSSION, UNTRAINED, BURN, COLLAPSE, FALL, SPRAIN

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition		$250,000 to $500,000	6	150

Employee Details
Employee #	Inspection Nr	Degree of Injury	Nature of Injury	Occupation	Construction
1	302626528	Hospitalized injury	Burn(Chemical)	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 33 feet Cause: Pouring or installing floor decks Fatality Cause: Fall, other
2	302626502			Occupation Not Listed	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Fatality Cause:
3	302626510	Hospitalized injury	Concussion	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 33 feet Cause: Pouring or installing floor decks Fatality Cause: Fall, other
4	302626510	Hospitalized injury	Other	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 33 feet Cause: Pouring or installing floor decks Fatality Cause: Fall, other
5	302626510	Hospitalized injury	Other	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 33 feet Cause: Pouring or installing floor decks Fatality Cause: Fall, other
6	302626510	Hospitalized injury	Other	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 33 feet Cause: Pouring or installing floor decks Fatality Cause: Fall, other
7	302626510	Hospitalized injury	Strain/Sprain	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 33 feet Cause: Pouring or installing floor decks Fatality Cause: Fall, other
8	302626510	Hospitalized injury	Other	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 33 feet Cause: Pouring or installing floor decks Fatality Cause: Fall, other
9	302626510	Hospitalized injury	Concussion	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 33 feet Cause: Pouring or installing floor decks Fatality Cause: Fall, other

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