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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 200513836 - Employee Is Killed In Fall Down Mechanical Shaft

Accident: 200513836 -- Report ID: 0552700 -- Event Date: 09/06/2005
InspectionOpen DateSICEstablishment Name
30943500609/06/20051542Opus Nw Construction
At approximately 7:00 a.m. on September 6, 2005, Employee #1 entered the work area on the fifth floor of the project. Employee #1 was walking through tunnel forms to prepare the forms for a concrete pour. As Employee #1 walked toward the end of the form inspecting his work, he stepped through a floor hole and fell approximately 45 ft to his death.
Keywords: concrete form work, tunnel, floor hole, construction, fall
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Multi-family dwelling New project or new addition $5,000,000 to $20,000,000 25 45 X
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 309435006 Fatality Concussion Occupation not reported FallDist:
Cause: Forming
FatCause: Fall from/with structure (other than roof)

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