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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 109421.015 - Employee Falls From Ladder And Fractures Eight Ribs

Accident: 109421.015 -- Report ID: 0524200 -- Event Date: 08/21/2018
InspectionOpen DateSICEstablishment Name
1340331.01508/21/2018Adjustable Forms, Inc.
On August 21, 2018, Employee #1, employed by a concrete construction company, was working at a multiemployer construction project, a new four-story commercial building. He was working from a ladder made onsite and performing carpentry work in preparation for installing concrete forms. Employee #1 leaned back and fell from the ladder, a fall height of approximately 5 feet. He was transported to the hospital, where he was admitted and treated for fractures to eight ribs.
Keywords: rib, carpenter, construction, fall protection, ladder, installing, fracture, fall, concrete form work, leaning over
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Commercial building New project or new addition   4
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 1340331.015 63 M Hospitalized injury Fracture Carpenters FallDist:
FallHt:
Cause:
FatCause: Fall from/with ladder

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