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Accident: 200673747 - Employee Killed In Fall From Air Shaft

Accident: 200673747 -- Report ID: 0418800 -- Event Date: 04/18/2002
InspectionOpen DateSICEstablishment Name
30549461904/18/20021522Miller & Solomon General Contractor, Inc.
At approximately 11:45 a.m. on April 18, 2002, Employee #1 was removing a cover, called a form, from an air shaft. He fell 90 ft to the bottom of the shaft and was killed. The form was constructed of two 4-by-4s and a 3-by-4 sheet of 0.75-in. plywood. The form was secured in place with four Ellis jacks.
Keywords: cover, air shaft, construction, abrasion, fall, jack, contusion
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Multi-family dwelling New project or new addition $20,000,000 and over 90 X
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 305494619 Fatality Bruise/Contus/Abras Construction laborers FallDist:
FallHt:90
Cause: Interior carpentry
FatCause: Fall through opening (other than roof)

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