Accident Report Detail

Accident Summary Nr: 93088.015 - Employee slips, falls and fractures ribs

Accident Summary Nr: 93088.015 -- Report ID: 0352450 -- Event Date: 02/08/2017
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1209356.015	02/08/2017		238110	Ajo Concrete Construction, Inc.

Abstract: At 8:30 a.m. on February 8, 2017, an employee and his coworkers installed a concrete storm water management riser in a water retention pond. The footing for a 2-foot, tall riser was poured, and the formwork was then installed for the riser's side walls and supports. A double (2 inch by 4 inch) horizontal walers with vertical "stiffback" boards for bracing was installed. After the employee stood, on a 3 1/2 inch wide "waler", he then slipped and fell 10 feet down to a mud and gravel surface, landing on his feet and back. Afterwards, the employee sustained 2 fractured ribs and a back injury. He was hospitalized and then released the next day.

Keywords: Back, Bracing, Building, Concrete, Concrete Form Work, Fall, Fall Protection, Foot, Guard, Rib, Slip, Slippery Surface

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other heavy construction		New project or new addition				16

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1209356.015	44	M	Hospitalized injury		Concrete and terrazzo finishers	Distance of Fall: 10 feet Worker Height Above Ground/Floor: 10 feet Cause: Forming Fatality Cause:

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