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Inspection Detail

Case Status: CLOSED

Inspection: 1489809.015 - Cornerstone Forming, Llc

Inspection Information - Office: Atlanta East Area Office

 

Inspection Nr: 1489809.015
Report ID: 0418100
Date Opened: 08/24/2020

Site Address:
Cornerstone Forming, Llc
Children Hospital Of Atlanta (Choa) 2580 Briarcliff Road
Atlanta, GA 30329

Mailing Address:
2415 State Bern Road, Cumming, GA 30040

Union Status: NonUnion

SIC:

NAICS: 238190/ Other Foundation, Structure, and Building Exterior Contractors


Inspection Type: Fat/Cat

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/29/2020

Emphasis: L:Fall

Case Closed: 02/04/2021


Related Activity
Type Activity Nr Safety Health
Accident 1648947
Case Status: CLOSED

Investigation Summary

Investigation Nr: 128954.015
Event: 08/24/2020
Foreman, tied off to falling concrete form, is killed when c

At 10:50 a.m. on August 24, 2020, Employee #1 and a coworker, employed by a concrete construction company, were working at a multi-employer project, the construction of a hospital building. They were in the process of lifting and repositioning a pre-cast concrete column form, designated north side panel, using a tower crane operated by the coworker. Employee #1, the crew foreman, was tied off to another concrete form, designated west side panel. The two forms had been connected by pins, and all the pins but one had been removed. The one pin inadvertently remaining continued to connect the two panels. As the crane lifted the north panel approximately 3 inches to adjust its position, the remaining connecting pin broke free, which caused the west panel to twist and fall with Employee #1 still tied to it. The panel fell on top of Employee #1, and Employee #1 was crushed between the panel and a generator. Employee #1 initially tried to talk and get up, but later that day he died from the crushing injuries.

Keywords: Bolt, Caught Between, Concrete Panel, Construction, Crane, Crushed, Crushing, Electric Generator, Fall, Fall Protection, Form work, Pin, Tie-Off, Tower Crane

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 1489809.015 33 M Fatality Occupation Not Listed
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