Accident Report Detail

Accident Summary Nr: 202354726 - Employee falls when struck by boom truck

Accident Summary Nr: 202354726 -- Report ID: 0352440 -- Event Date: 04/28/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
307579300	04/28/2004	1771	238110	Gustavo'S Concrete, Llc.

Abstract: On April 28, 2004, Employee #1 was standing atop a formed foundation wall for a single family home, preparing to fill the concrete form. A concrete pump truck, which belonged to another contractor, was not situated on stable, compacted, and level soil. The 6-by-6 inch timber cribbing used under the manufacturer provided wooden outrigger support pads were also not stable. He was struck by the boom of the concrete pump truck, which tipped off the base of one of its outriggers. He fell 9 ft, and sustained a concussion as well as lacerations and contusions to his head, hands, ear, and face, and was hospitalized.

Keywords: HEAD, CONSTRUCTION, EAR, LACERATION, STRUCK BY, CONCUSSION, HAND

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$500,000 to $1,000,000	2	9

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	307579300			Hospitalized injury	Concussion	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause: Struck by falling object/projectile

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