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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 mason ry exterior of a commercial building with fall protection consisting of a body b elt anchored to a (2 in. by 4 in.) frame member. As a result of an improperly i nstalled 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 tr auma, fractures, abdominal and bladder injuries and was hospitalized.
Keywords: abdomen, anchor, belt, bladder, building, contact, fall, fall protection, form work, fracture, frame, head, installing, masonry wall, traumatic, 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 Construction trades, n.e.c. FallDist: 16
Cause: Exterior masonry

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