Accident Report Detail

Accident Summary Nr: 202023404 - Employee killed in fall from concrete form work

Accident Summary Nr: 202023404 -- Report ID: 0316100 -- Event Date: 12/09/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
306694365	12/09/2003	1771	238110	Smc Concrete Construction Co.

Abstract: On December 9, 2003, Employee #1 was climbing on the concrete form work of a building when he slipped and fell five stories to the ground. Employee #1 was killed.

Keywords: CONCRETE FORM WORK, BUILDING, WORK RULES, SLIP, CONSTRUCTION, FALL, FALL PROTECTION, UNSTABLE POSITION

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition		$20,000,000 and over	5		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	306694365			Fatality	Fracture	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: 47 feet Cause: Stripping and curing concrete Fatality Cause: Fall from/with structure (other than roof)

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