Accident Report Detail

Accident Summary Nr: 99499.015 - Employee falls 29 stories from a Peri Climbing Form Work sys

Accident Summary Nr: 99499.015 -- Report ID: 0215000 -- Event Date: 09/21/2017
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1266034.015	09/21/2017		238110	Ssc High Rise Construction Inc.

Abstract: On September 21, 2017, an employee was working on a Peri Climbing Form Work system platform suspended by a crane in order to re-locate the platform on the side of the building. There were stated to be 7 employees on the platform at the time of incident. The employees were on the platform to release it from the shoes which attach it to the building; then the crane would take the platform two feet to the right where it would be re-attached to new platform shoes the employer had installed for the re-location. The platform came free of the building and allegedly swung 10 feet due to crane not centered over the load. The employee fell 29 stories and was killed.

Keywords: Crane, Elevated Work Platform, Fall, Fall Protection

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition		$5,000,000 to $20,000,000	29	325	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1266034.015	50	M	Fatality		Carpenters	Distance of Fall: 325 feet Worker Height Above Ground/Floor: 325 feet Cause: Pouring concrete foundations and walls Fatality Cause:

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