Inspection Detail
Inspection: 2549426 - Sletten Construction Company
Inspection Information - Office: Arizona Division Of Occupational Safety And Health (Adosh)
Site Address:
Sletten Construction Company
Verde Valley Bridge Project, P. O. Box 3
Tonto Basin, AZ 85553
Mailing Address:
P. O. Box 2467, Great Falls, MT 59403
Union Status: NonUnion
SIC:1622
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/16/1987
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 03/20/1987
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360105944 |
Investigation Summary
EMPLOYEE #1, THE SUPERINTENDENT, WAS STRUCK BY A CYLINDRICAL FORM BEING SET BY A CRANE. THE EFCO FORM (5 FEET, 6 INCHES IN DIAMETER, 24 FEET LONG AND WEIGHING BETWEEN 2000 AND 2500 POUNDS) WAS BEING PLACED AROUND A CIRCULAR REBAR CAGE. THE FORM HUNG UP ON AN OBSTRUCTION AND WOULD NOT GO INTO POSITION. EMPLOYEE #1 CLIMBED TO THE TOP OF THE FORM AND ATTEMPTED TO SHAKE THE FORM LOOSE. HE TIED OFF TO THE REBAR FRAMEWORK AND CALLED FOR THE CRANE OPERATOR TO "BOOM UP". THE FORM BROKE LOOSE WITH ENOUGH FORCE TO SNAP THE SAFETY CHAIN AT BOTH CONNECTING RINGS. AFTER BEING STRUCK BY THE FORM, EMPLOYEE #1 FELL ONTO THE BARGE AND INTO THE WATER.
Keywords: CONCRETE FORM WORK, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, STRUCK BY
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 2549426 | Fatality | Puncture | Supervisors, n.e.c. |
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