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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 111222.015 - Employee Falls When Form Work Panel Collapses And Receives F

Accident: 111222.015 -- Report ID: 0626000 -- Event Date: 11/17/2018
InspectionOpen DateSICEstablishment Name
1361882.01511/19/2018Flatiron/Dragados, Llc
At 7:30 a.m. on November 17, 2018, an employee was attaching rebar to the top of a concrete column. At some point, during the work, a form work panel adjacent t o the employee collapsed causing the employee to fall approximately twelve feet. The employee was taken to a hospital for treatment of fractures to both legs.
Keywords: collapse, concrete form work, fall, fall protection, fracture, leg, rebar
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Highway, road, street Other   0 12
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 1361882.015 34 M Hospitalized injury Construction trades, n.e.c. FallDist:
Cause: Forming

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