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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 108555.015 - Employee Incurs Multiple Injuries In Fall From Form

Accident: 108555.015 -- Report ID: 0419700 -- Event Date: 08/16/2018
InspectionOpen DateSICEstablishment Name
1341448.01508/24/2018A.A. Pittman & Sons Concrete Company, Inc.
At 11:00 a.m. on August 16, 2018, Employee #1 was removing a form from the masonry exterior of a commercial building with fall protection consisting of a body belt anchored to a (2 in. by 4 in.) frame member. As a result of an improperly installed body belt/anchorage system, Employee #1 fell from the form, hit a wall, and then fell 16 feet to the ground. Afterwards, Employee #1 sustained head trauma, fractures, abdominal and bladder injuries and was hospitalized.
Keywords: abdomen, contact, frame, belt, building, fall protection, installing, masonry wall, head, fracture, fall, bladder, traumatic, form work, anchor, wall
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Commercial building New project or new addition   20
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 1341448.015 50 M Hospitalized injury Cut/Laceration Construction trades, n.e.c. FallDist:
FallHt:
Cause:
FatCause: Fall from/with structure (other than roof)

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