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Accident Summary Nr: 75207.015 - Employee is killed in fall

Accident Summary Nr: 75207.015 -- Report ID: 0257240 -- Event Date: 03/20/2015
Inspection NrDate OpenedSICNAICSEstablishment Name
1048666.01503/20/2015236220Jovan Inc

Abstract: At 7:45 a.m. on March 20, 2015, an employee was working in the operation of concrete shot. The employee tripped while carrying a steel rod and fell from a high of 28 feet. The employee sustained severe body trauma and was killed.

Keywords: Concrete Beam, Fall, Floor Opening, Tripped
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Other building New project or new addition $250,000 to $500,000 3 28 X

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation Construction
1 1048666.015 52 M Fatality Carpenter Distance of Fall: 28 feet
Worker Height Above Ground/Floor: 28 feet
Cause: Pouring concrete floor at grade
Fatality Cause:

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