Accident Report Detail
Accident Summary Nr: 54770.015 - Employee Falls Through Floor Opening And Dies
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 948960.015 | 11/18/2013 | 238110 | Capform, Inc. |
Abstract: At approximately 12:30 p.m. on November 18, 2013, Employee #1 was working on the fourth level of a commercial building under construction. He was arranging aluma-form materials. As he was working, he fell through a uncovered floor hole, falling approximately 24.7 ft and striking the next floor level. Employee #1 suffered head trauma and was transported to a local hospital, but died en-route to the hospital.
| End Use | Project Type | Project Cost | Stories | Non-building Height | Fatality | ||
|---|---|---|---|---|---|---|---|
| Commercial building | New project or new addition | $1,000,000 to $5,000,000 | 5 | X | |||
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation | Construction |
|---|---|---|---|---|---|---|---|
| 1 | 948960.015 | 41 | M | Fatality | Concrete and terrazzo finishers | Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause: |
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