Accident Report Detail

Accident Summary Nr: 48826.015 - Employee is crushed and killed when concrete formwork collap

Accident Summary Nr: 48826.015 -- Report ID: 0111400 -- Event Date: 07/23/2013
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
922394.015	07/23/2013		238140	Diaz Construction Co., Inc.

Abstract: At 8:45 a.m. on July 23, 2013, an employee was assisting two other coworkers in erecting a formwork that formed an outside corner of a basement. The employee was climbing a section in order to clamp the form together while one of the coworkers worked on the opposite side of the formwork with an extension ladder resting against one of the panels. The coworker pushed on the wooden form to align it with the MEVA panel in order to create a smooth service. The formwork began rotating counterclockwise and fell over trapping the employee underneath it. The second coworker pulled on the formwork that was suspended by an excavator to allow the employee to escape from where he was being held by two pieces of formwork. The employee was crushed when the formwork continued its spin and fell completely on top of the employee.

Keywords: Caught Between, Collapse, Crushing, Fall

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition		$5,000,000 to $20,000,000	3	40	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	922394.015	26	M	Fatality		Construction trades, n.e.c.	Distance of Fall: 16 feet Worker Height Above Ground/Floor: 16 feet Cause: Forming Fatality Cause:

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