Accident Report Detail

Accident Summary Nr: 691907 - Employee injured when struck by falling concrete form

Accident Summary Nr: 691907 -- Report ID: 0854910 -- Event Date: 10/22/1986
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
102103629	10/24/1986	1542	0	Camco Const Co

Abstract: On October 22, 1986, Employee #1 and the superintendent were removing concrete forms from three doorways in a new maintenance shop being built in Solitude, UT. Forms had been removed from two doorways and the two employees were just starting on doorway #3, the north door. Two braces had been removed and employees were ready to remove the other two braces. Employee #1 was working on the south end of the doorway and the superintendent was working at the north end. The brace at the north end came out first, letting the form twist and fall 14 ft, striking Employee #1 across the head and back. Employee #1 was taken to Cottonwood Hospital.

Keywords: CONCRETE FORM WORK, HEAD, UNSECURED, WORK RULES, CONSTRUCTION, BACK, STRUCK BY, FALLING OBJECT

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	102103629			Hospitalized injury	Fracture	Carpenters

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