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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 170395669 - Employee Killed In Fall From Metal Bracket Form Scaffold

Accident: 170395669 -- Report ID: 0215800 -- Event Date: 11/04/1994
InspectionOpen DateSICEstablishment Name
10154607511/04/19941771Timothy L. Carey/Dba Tlc Contracting Company
Employee #1 was working off a metal bracket form scaffold, approximately 12 1/2 feet above the base level of an elevator shaft. The work consisted of placing concrete in the formwork for the basement walls using an articulating boom concrete pumping truck. The employee may have suffered an epileptic seizure prior to falling off the scaffold, which was not provided with standard guardrails. He struck his head on wooden studs on the bottom of the elevator shaft and died.
Keywords: head, guardrail, work rules, struck against, construction, seizure, fall, fall protection, elevator shaft, scaffold
Employee # Inspection Age Sex Degree Nature Occupation
1 101546075 Fatality Fracture Occupation not reported

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