Accident Report Detail
Accident: 100979.015 - Employee Falls During Concrete Form Removal And Fractures Hi
Accident: 100979.015 -- Report ID: 0418200 -- Event Date: 11/17/2017 | |||||||
Inspection | Open Date | SIC | Establishment Name | ||||
---|---|---|---|---|---|---|---|
1279016.015 | 11/20/2017 | Baker Concrete Construction | |||||
At 9:00 a.m. on November 17, 2017, Employee #1, employed by a concrete construct ion company, was engaged in removing a concrete form at a construction jobsite. He was anchored to the form so that he could attach a crane's hook. The crane then would lower the form to the ground. When Employee #1 climbed the form, it became unbalanced and fell. Employee #1 rode the form to the ground, a fall hei ght of 10 feet, and was injured on impact. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for a fractured hip and contusions. | |||||||
Keywords:
anchor, concrete form work, construction, crane, crane hook, dismantling, fall, fall protection, fracture, hip
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End Use | Proj Type | Proj Cost | Stories | NonBldgHt | Fatality | ||
Other building | New project or new addition | 9 | |||||
Employee # | Inspection | Age | Sex | Degree | Nature | Occupation | Construction |
1 | 1279016.015 | 40 | M | Hospitalized injury | Carpenters | FallDist: 10 FallHt:10 Cause: Pouring concrete for piers, and pylons FatCause: |