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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 200033074 - Employee Injures Knee, Later Dies Of Pulmonary Embolism

Accident: 200033074 -- Report ID: 0521700 -- Event Date: 09/15/2007
InspectionOpen DateSICEstablishment Name
31136817909/18/20071771Concrete Structures Of The Midwest, Inc.
At approximately 11:15 a.m. on September 10, 2007, Employee #1, a carpentry foreman for Concrete Structures of the Midwest, Inc., was working on Lower Level 3 of a building. He was moving from a metal deck to a previously poured concrete floor when he apparently tripped and struck his knee against the edge of the floor. He sustained a laceration and was transported to a local hospital, where he received stiches. He returned to work that day and the next, but on the third day his knee became very sore and swollen. He went to his own doctor and took the rest of the week off. Employee #1 died at home on September 15, 2007. The Will County Coroner's office determined that cause of death as a pulmonary embolism, which may have resulted from his knee injury.
Keywords: knee, blood clot, carpenter, construction, laceration, tripped, pulmonary embolism
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Other building New project or new addition $20,000,000 and over 60 X
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 311368179 Fatality Cut/Laceration Occupation not reported FallDist:
Cause: Other Activities-Post Decking Detail Work
FatCause: Fall, other

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