Accident Report Detail

Accident Summary Nr: 84438.015 - Employee falls froml wooden concrete form and is killed

Accident Summary Nr: 84438.015 -- Report ID: 0653510 -- Event Date: 04/04/2016
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1139372.015	04/04/2016		237310	Southwest Concrete Paving Co

Abstract: At 7:00 a.m. on April 4, 2016, an employee was preparing to install reinforcing steel on a concrete form. The employee fell off a 12 foot tall wooden concrete form and is killed.

Keywords: Concrete, Concrete Form Work, Fall

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Highway, road, street		Alteration or rehabilitation			0	12	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Construction
1	1139372.015	36	M	Fatality		Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Emplacing reinforcing steel Fatality Cause:

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.