Accident Report Detail

Accident Summary Nr: 14456560 - Employee injured in fall while removing wall forms

Accident Summary Nr: 14456560 -- Report ID: 0854910 -- Event Date: 10/07/1984
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
15183858	10/10/1984	1542	0	Cottonwood Concrete Inc

Abstract: Employee #1 was stripping poured wall forms. To dismantle the vertical staff backs, he began to remove the attaching brackets, starting at the bottom. When only two backs remained, Employee #1 positioned himself by hooking his safety lanyard between them. As he removed the lower bracket, the 2 by 4 to which he was attached swung out, dropping him 14 ft 3 in. onto a metal deck.

Keywords: CONCRETE FORM WORK, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, TIE-OFF

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	15183858			Hospitalized injury	Fracture	Construction trades, n.e.c.

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