Accident Report Detail

Accident Summary Nr: 98327.015 - Worker falls through plywood forms and injures back

Accident Summary Nr: 98327.015 -- Report ID: 0524200 -- Event Date: 08/07/2017
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1253157.015	08/08/2017		236116	Altounian Construction, Inc.

Abstract: At 8:30 a.m. on August 7, 2017, Employee #1, employed by a construction company, was engaged in masonry work at the multiemployer construction project for a four-story multifamily residential building. Employee #1 was on the second floor and removed the pins from the concrete forms around a column. Employee #1 fell through the unsupported plywood forms for the second floor, a fall height of approximately 14 feet. Emergency services were called, and Employee #1 was transported to the hospital, admitted, and treated for a back injury.

Keywords: Back, Concrete, Concrete Form Work, Fall, Fall Protection, Pin, Residential Construction, Unsecured, Wood Panel, Work Surface

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition			4

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1253157.015	20	M	Hospitalized injury		Construction Laborer	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Interior masonry Fatality Cause:

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