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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 128954.015 - Foreman, Tied Off To Falling Concrete Form, Is Killed When C

Accident: 128954.015 -- Report ID: 0418100 -- Event Date: 08/24/2020
InspectionOpen DateSICEstablishment Name
1489809.01508/24/2020Cornerstone Forming, Llc
At 10:50 a.m. on August 24, 2020, Employee #1 and a coworker, employed by a conc rete construction company, were working at a multi-employer project, the constru ction of a hospital building. They were in the process of lifting and repositio ning a pre-cast concrete column form, designated north side panel, using a tower crane operated by the coworker. Employee #1, the crew foreman, was tied off to another concrete form, designated west side panel. The two forms had been conn ected by pins, and all the pins but one had been removed. The one pin inadverte ntly remaining continued to connect the two panels. As the crane lifted the nor th panel approximately 3 inches to adjust its position, the remaining connecting pin broke free, which caused the west panel to twist and fall with Employee #1 still tied to it. The panel fell on top of Employee #1, and Employee #1 was cru shed between the panel and a generator. Employee #1 initially tried to talk and get up, but later that day he died from the crushing injuries.
Keywords: bolt, caught between, concrete panel, construction, crane, crushed, crushing, electric generator, fall, fall protection, form work, pin, tie-off, tower crane
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Other building New project or new addition   0 18 X
Employee # Inspection Age Sex Degree Nature Construction
1 1489809.015 33 M Fatality FallDist:
FallHt:
Cause: Forming
FatCause:

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