Accident Report Detail

Accident Summary Nr: 75207.015 - Employee is killed in fall

Accident Summary Nr: 75207.015 -- Report ID: 0257240 -- Event Date: 03/20/2015
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1048666.015	03/20/2015		236220	Jovan 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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