Accident Report Detail

Accident Summary Nr: 979393 - Employees killed when struck on head by concrete form

Accident Summary Nr: 979393 -- Report ID: 0950411 -- Event Date: 11/23/1991
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
115648313	11/23/1991	1623	0	Shank-Artukovich-Ohbayashi

Abstract: Employee #1, a crane operator, and Employee #2 were folding a concrete form for shipment when the bolt connected to the lifting plate broke, causing the form to fall and hit the employees in the head. Employees #1 and #2 were killed.

Keywords: CONCRETE FORM WORK, EQUIPMENT FAILURE, BOLT, STRUCK BY, FALLING OBJECT

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	115648313			Fatality	Other	Supervisors, n.e.c.
2	115648313			Fatality	Other	Construction trades, n.e.c.

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