Accident Report Detail

Accident Summary Nr: 767848 - Employee killed in fall in elevator shaft

Accident Summary Nr: 767848 -- Report ID: 0626300 -- Event Date: 05/13/1992
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
106793565	05/14/1992	1799	0	Cap Form, Incorporated
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
106793557	05/14/1992	1542	0	Hcb Contractors

Abstract: Employee #1, a 37-year-old labor foreman, was wrecking wooden forms over an elevator shaft opening. He was standing on the wooden forms, which consisted of multiple 2 by 10s, 4 by 6s, and a 2 by 12. He was removing the nails and cutting the boards when the formwork collapsed, causing him to fall 18 ft through the opening and land on the concrete floor of the shaft. Employee #1 was killed.

Keywords: CONCRETE FORM WORK, WORK RULES, ELEVATOR SHAFT, DISMANTLING, COLLAPSE, CONSTRUCTION, UNSTABLE SURFACE, FALL

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	106793565			Fatality	Other	Occupation not reported
2	106793557					Occupation Not Listed

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