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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 51726.015 - Employee Falls Through Elevator Shaft And Is Killed

Accident: 51726.015 -- Report ID: 0626700 -- Event Date: 08/29/2013
InspectionOpen DateSICEstablishment Name
936636.01508/29/2013United Forming, Inc.

At 12:00 p.m. on August 29, 2013, Employee #1 was stripping forms to move to the next level of the pour for the elevator shaft. The employee fell from the worki ng platform, down the shaft, to the underground portion of the shaft, and hit th e slab below. Employee #1 was killed from severe lacerations to his back, head, and multiple broken bones.

Keywords: back, concrete slab, elevated work platform, elevator, elevator shaft, fall, fracture, head, laceration, struck against
Accident Details
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Multi-family dwelling New project or new addition $5,000,000 to $20,000,000 11 110 X

Employee Details
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 936636.015 31 M Fatality Concrete and terrazzo finishers FallDist: 110
FallHt:110
Cause: Forming
FatCause:

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