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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 171058324 - Employee Injured In Fall While Stripping Concrete Forms

Accident: 171058324 -- Report ID: 0854910 -- Event Date: 11/01/1999
InspectionOpen DateSICEstablishment Name
30116387911/01/19991542Layton Const Co Inc
Employee #1 was on an elevated work surface, stripping concrete forms when he fell approximately 31 ft, sustaining injuries that required hospitalization. Witnesses said Employee #1 was wearing proper fall protection, but that he may not have been properly tied off.
Keywords: concrete form work, dismantling, work rules, construction, fall, fall protection, elevated work plat, tie-off
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Other building New project or new addition $20,000,000 and over 3
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 301163879 Hospitalized injury Fracture Carpenters FallDist:
FallHt:31
Cause: Stripping and curing concrete
FatCause: Fall from/with structure (other than roof)

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