Accident Report Detail

Accident Summary Nr: 655274 - Eight Employees Injured As Concrete Form Collapses

Accident Summary Nr: 655274 -- Report ID: 0134000 -- Event Date: 01/07/1993
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
109616078	01/07/1993	1771	0	S&F Concrete Contractors
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
109616052	01/27/1993	7353	0	International Form Corp.
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
109616078	01/07/1993	1771	0	S&F Concrete Contractors
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
109616086	01/07/1993	1522	0	Marshall Contractors, Inc.

Abstract: While a 41 in. waffle-type slab was being poured, the falsework form system failed, causing Employees #1 through #8 and the material to fall approximately 20 ft to the ground. Employees #1 through #5 required hospitalization.

Keywords: head, collapse, fall, fall protection, concrete form work, work rules, puncture, fracture, construction, back

Employee Details
Employee #	Inspection Nr	Degree	Nature of Injury	Occupation
1	109616078	Hospitalized injury	Fracture	Occupation not reported
2	109616052			Occupation Not Listed
3	109616078	Hospitalized injury	Puncture	Occupation not reported
4	109616078	Hospitalized injury	Fracture	Occupation not reported
5	109616078	Hospitalized injury	Fracture	Occupation not reported
6	109616078	Hospitalized injury	Cut/Laceration	Occupation not reported
7	109616078	Non Hospitalized injury	Strain/Sprain	Occupation not reported
8	109616078	Non Hospitalized injury	Strain/Sprain	Occupation not reported
9	109616078	Non Hospitalized injury	Strain/Sprain	Occupation not reported
10	109616086			Occupation Not Listed

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