Accident Report Detail

Accident Summary Nr: 202445201 - Employee Is Injured When Struck by Falling Mold Wall

Accident Summary Nr: 202445201 -- Report ID: 0950633 -- Event Date: 11/07/2006
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
120124870	12/05/2006	3272	327390	Jensen Enterprises Inc Dba Jensen Precast

Abstract: At about 8:00 a.m. on November 7, 2006, Employee #1, a production worker, was performing stripping operations at a plant where precast concrete vaults were manufactured. He and a crane operator were stripping a cured mold form by opening four outer walls and eight interior screws which held knockouts. After this operation, Employee #1 was crawling out from underneath the form when the unsecured north side wall of the form (weighing 250 lbs) fell onto him. He was hospitalized at Arrowhead Regional Medical for fractures of his right hip and shoulder.

Keywords: FRACTURE, STRIPPING MACHINE, SHOULDER, WALL, UNSECURED, STRUCK BY, CONCRETE, HIP

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120124870			Hospitalized injury	Fracture	Hand molding, casting, and forming occupations

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