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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 111673.015 - Employee Falls From Scaffold And Sustains Fractures

Accident: 111673.015 -- Report ID: 0111100 -- Event Date: 12/06/2018
InspectionOpen DateSICEstablishment Name
1365098.01512/10/2018Rh Contracting, Inc.
At 10:30 a.m. on December 6, 2018, Employee #1, employed by a concrete construct ion company, was working from a scaffold and engaged in concrete form work for a new one-story building. A 16-foot long piece of lumber had fallen inside a con crete form. Employee #1 attempted to retrieve the lumber. As he pulled the lum ber out and over his head, the weight pulled him backward. The employee fell fr om the scaffold, a fall height of 14 feet. He was transported to the hospital, admitted, and treated for multiple fractures of his ribs, shoulder, and back.
Keywords: back, concrete form work, construction, fall, fall protection, fracture, lost balance, lumber, rib, scaffold, shoulder
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Other building New project or new addition   1 14
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 1365098.015 30 M Hospitalized injury Concrete and terrazzo finishers FallDist: 14
FallHt:14
Cause: Forming
FatCause:

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