Accident Report Detail

Accident Summary Nr: 115727.015 - Employee fractures shoulder when struck by concrete hose

Accident Summary Nr: 115727.015 -- Report ID: 0950632 -- Event Date: 08/29/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1363516.015	12/03/2018		238110	Pacific Southwest Structures, Inc

Abstract: At 10:30 a.m. on August 29, 2018, Employee #1, employed by a concrete construction company, was engaged in construction of concrete parking structures. He was handling the rubber hose, 4-5 inches in diameter, that is used to deliver concrete slurry from a concrete boom truck to the pour location. As pumping resumed after a down time, there was a surge in the hose line as a clog cleared, and the hose whipped violently due to the release of energy/pressure that had built up. The hose struck the employee on the left side of his head, then whipped back and struck and fractured his right clavicle/shoulder bone. The employee was transported to the hospital and admitted for treatment of the fractured shoulder.

Keywords: Boom, Boom Truck, Concrete Pump, Construction, Fracture, Head, Hose, Pressure Release, Shoulder, Struck By

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition			4	45

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1363516.015	34	M	Hospitalized injury		Carpenters	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Pouring concrete floor at grade Fatality Cause:

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