Accident Report Detail

Accident Summary Nr: 921312 - Employee killed when struck by falling form

Accident Summary Nr: 921312 -- Report ID: 0418800 -- Event Date: 08/11/1995
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
109693614	08/11/1995	1541	0	Bullet Construction Co

Abstract: At approximately 7:45 a.m. on August 11, 1995, several employees were stripping manufactured formwork about 15 ft high and measuring approximately 10 by 10 feet. The form, which was not hooked up to a crane, rested on two 10-ft-high ledges. While attached to a whaler, Employee #1 removed the locking nut from the tie bar. The form fell away from the wall, landing on top of Employee #1. He was crushed and killed.

Keywords: CONCRETE FORM WORK, UNSECURED, WORK RULES, CONSTRUCTION, CRUSHED, STRUCK BY

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	109693614			Fatality	Fracture	Occupation not reported

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