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Accident: 170203095 - Employee Injured In Fall From Symons Forms

Accident: 170203095 -- Report ID: 0950626 -- Event Date: 07/06/1990
InspectionOpen DateSICEstablishment Name
11194130807/23/19901541The Industrial Co. Of Steamboat Springs Inc.
At about 10:05 a.m. on July 6, 1990, Employee #1, of the Industrial Company of Steamboat Springs Inc., was setting sections of Symons forms for a concrete pour. A section or gang of Symons forms was 22 ft high and 26 ft long. While setting the second gang, Employee #1 and three coworkers were plumbing, pinning, and bracing the second gang in place. Employee #1 was climbing to a position that would allow him to set the center brace (kicker) in place. While climbing, prior to reaching the next work position to tie off his lifeline and safety belt, he fell from about 14 ft. Employee #1 sustained a compound fracture of the lower lumbar vertebrae, a dislocated left wrist, and a fractured right wrist. The Symons form gangs have hand holds built in to facilitate climbing, and connect points to tie off lifelines.
Keywords: concrete form work, fracture, work rules, construction, dislocated, fall, tie-off, vertebra, wrist
Employee # Inspection Age Sex Degree Nature Occupation
1 111941308 Hospitalized injury Fracture Supervisors; carpenters and related workers

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