Accident Report Detail

Accident Summary Nr: 202503496 - Employee injures shoulder in fall into excavation

Accident Summary Nr: 202503496 -- Report ID: 0352440 -- Event Date: 11/20/2007
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
311531859	11/20/2007	1771	238110	Facchina Construction Company, Inc.

Abstract: On November 20, 2007, Employee #1 was pouring a step footer in an excavation when he tripped on the form work and fell against the dirt. He suffered a shoulder injury, for which he was hospitalized.

Keywords: CONCRETE FORM WORK, EXCAVATION, SHOULDER, CONSTRUCTION, TRIPPED, FALL

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition		$20,000,000 and over	7	84

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	311531859			Hospitalized injury	Dislocation	Construction laborers

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