Accident Report Detail

Accident Summary Nr: 509588 - Employee dies after he falls from concrete form

Accident Summary Nr: 509588 -- Report ID: 1032500 -- Event Date: 08/16/1994
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
107239253	08/17/1994	1623	0	The Industrial Company Dba Tic

Abstract: While descending from a concrete form, Employee #1 slipped and fell approximately 30 feet. The employee was wearing a work positioning-type safety belt with one lanyard attached to a side D ring. He was not able to tie-off while moving on the form. Employee #1 died.

Keywords: CONCRETE FORM WORK, WORK RULES, SLIP, CONSTRUCTION, DESCENDING, FALL, TIE-OFF

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	107239253			Fatality	Fracture	Occupation not reported

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