Accident Report Detail

Accident Summary Nr: 109421.015 - Employee falls from ladder and fractures eight ribs

Accident Summary Nr: 109421.015 -- Report ID: 0524200 -- Event Date: 08/21/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1340331.015	08/21/2018		238110	Adjustable Forms, Inc.

Abstract: 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: Carpenter, Concrete Form Work, Construction, Fall, Fall Protection, Fracture, Installing, Ladder, Leaning over, Rib

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition			4

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1340331.015	63	M	Hospitalized injury		Carpenters	Distance of Fall: 5 feet Worker Height Above Ground/Floor: 5 feet Cause: Exterior carpentry Fatality Cause:

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