Inspection Detail
Inspection: 306109737 - Brewer Concrete Flatwork, Inc.
Inspection Information - Office: Madison Area Office
Site Address:
Brewer Concrete Flatwork, Inc.
1841 20th Avenue (Northern Bay)
Adams, WI 53910
Mailing Address:
N5951 County Road B, Plainfield, WI 54966
Union Status: NonUnion
SIC:1771
NAICS: 238110/Poured Concrete Foundation and Structure Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/18/2004
Emphasis: S:Construction Fatalities
Case Closed: 03/09/2004
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100800838 |
Investigation Summary
On February 14, 2004, Employee #1 was performing his regular duties when a strong gust of wind blew over five, 8 ft long by 3 ft wide aluminum concrete forms, each weighing 80 lb, that were standing up in a form basket. As the forms fell, they knocked Employee #1 to the ground. His head struck a wale bracket that was extending out of a 5 gal bucket. The bracket penetrated Employee #1's skull, killing him.
Keywords: HEAD, HIGH WIND, STRUCK AGAINST, CONSTRUCTION, SKULL, FALL, STRUCK BY, OVERTURN, PUNCTURE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 306109737 | Fatality | Puncture | Occupation not reported |
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