Accident Report Detail
Accident Summary Nr: 93178.015 - Employee falls approximately 5 feet and is injured
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 1210926.015 | 02/16/2017 | 238110 | Navillus Tile, Inc. |
Abstract: At 1:00 p.m. on February 14, 2017, an employee was installing prefabricated metal formwork for cast-in place concrete construction. As he climbed about 5.33 feet of the vertical formwork wall, where he fell and sustained bruising on his back. The employee was hospitalized and treated for his injury.
| End Use | Project Type | Project Cost | Stories | Non-building Height | Fatality | ||
|---|---|---|---|---|---|---|---|
| Commercial building | New project or new addition | 76 | |||||
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation | Construction |
|---|---|---|---|---|---|---|---|
| 1 | 1210926.015 | 35 | M | Hospitalized injury | Carpenters | Distance of Fall: 5 feet Worker Height Above Ground/Floor: 5 feet Cause: Forming Fatality Cause: |
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