Accident Report Detail
Accident: 109673.015 - Employee Incurs Unspecified Injuries In Concrete Form Struct
Accident: 109673.015 -- Report ID: 0636900 -- Event Date: 09/29/2018 | |||||||
Inspection | Open Date | SIC | Establishment Name | ||||
---|---|---|---|---|---|---|---|
1350505.015 | 10/01/2018 | Capform, Inc. | |||||
At 8:15 a.m. on September 29, 2018, an employee was working to dismantle concret e tower forms. While working, a portion of the form structure fell over and stru ck the employee who was hospitalized with unspecified injuries. | |||||||
Keywords:
collapse, concrete form work, dismantling, fall, falling object, struck by, structural collapse
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End Use | Proj Type | Proj Cost | Stories | NonBldgHt | Fatality | ||
Commercial building | New project or new addition | 1 | 0 | ||||
Employee # | Inspection | Age | Sex | Degree | Nature | Occupation | Construction |
1 | 1350505.015 | 42 | M | Hospitalized injury | Construction laborers | FallDist: FallHt: Cause: Pouring concrete foundations and walls FatCause: |