Accident Report Detail

Accident Summary Nr: 124054.015 - Employee dies of injuries received in fall off bridge column

Accident Summary Nr: 124054.015 -- Report ID: 0418200 -- Event Date: 02/15/2020
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1463286.015	02/15/2020		237310	North Perimeter Contractors, Llc

Abstract: At 12:00 a.m. on February 15, 2020, an employee was working from an aerial lift basket to remove bridge column formwork. At some point, the employee was having trouble removing a section of plywood form and stepped out of the aerial lift basket without connecting his life-line to an anchor point. As the employee stepped onto the plywood platform, the surface shifted and the employee fell approximately thirty feet. The employee was hospitalized with a punctured lung, fractures to the left arm and leg, but later died of his injuries.

Keywords: Aerial Lift, Arm, Basket, Fall, Fall Protection, Fracture, Leg, Lung, Puncture

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Bridge		New project or new addition				30	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1463286.015	49	M	Fatality		Carpenters	Distance of Fall: 30 feet Worker Height Above Ground/Floor: 30 feet Cause: Forming Fatality Cause:

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