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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 102311.015 - Worker'S Hips, Legs Are Crushed When Form Falls

Accident: 102311.015 -- Report ID: 0950635 -- Event Date: 07/19/2017
InspectionOpen DateSICEstablishment Name
1251302.01508/01/2017Guy Yocom Construction, Inc.
At 8:00 a.m. on July 19, 2017, Employee #1, a carpenter employed by a constructi on company, was part of a crew setting wooden forms for a two-story building's 2 5-foot tall concrete column. As Employee #1 was climbing down from the top of t he wooden form, which was not supported/braced, the form started to fall toward the second floor concrete deck. The form came to rest on top of the decking, pin ning Employee #1 between the decking and the form. Emergency services were call ed, and Employee #1 was transported to the hospital. He was admitted and treate d for a crushed pelvis and crushed legs.
Keywords: carpenter, caught between, concrete form work, construction, crushed, decking, leg, pelvis, structural collapse, unsecured
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Other building New project or new addition   2 25
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 1251302.015 42 M Hospitalized injury Carpenter FallDist:
FallHt:
Cause: Forming
FatCause:

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