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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 103205.015 - Employee Runs From Falling Forms, Falls And Injures Head

Accident: 103205.015 -- Report ID: 0316100 -- Event Date: 02/07/2018
InspectionOpen DateSICEstablishment Name
1293998.01502/07/2018Accu-Crete Inc
At 8:00 a.m. on February 7, 2018, Employee #1, employed by a structural concrete company, was engaged in formwork at a multiemployer construction project, a mul tifamily residential structure. He had just removed crane hooks from concrete p ylon formwork when the formwork began to topple. Employee #1 ran to escape the falling forms, tripped over an unknown object, and struck his head and face agai nst a concrete slab. Emergency services were called, and Employee #1 was transp orted to the hospital, admitted, and treated for his injuries.
Keywords: concrete form work, crane hook, face, fall, falling object, head, leg, residential construction, struck against, struck by, tripped
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Multi-family dwelling New project or new addition   6
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 1293998.015 47 M Hospitalized injury Concrete and terrazzo finishers FallDist:
Cause: Forming for piers or pylons

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