Accident Report Detail

Accident Summary Nr: 201040177 - Employee injured when formwork scaffold collapses

Accident Summary Nr: 201040177 -- Report ID: 0953220 -- Event Date: 12/02/1996
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
300766102	12/02/1996	8711	0	Mk Centennial - Centennial Engineering, Inc.

Abstract: Employee #1and two coworkers were standing on a formwork scaffold, pouring concrete into the forms. Employee #1 sustained injuries when the form collapsed and the workers fell to the ground. The level at which the workers were standing was approximately 25 ft above the lower surface.

Keywords: CONCRETE FORM WORK, POURING, COLLAPSE, WORK RULES, SCAFFOLD COLLAPSE, FALL, FALL PROTECTION, SCAFFOLD

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300766102			Non Hospitalized injury	Bruise/Contus/Abras	Construction inspectors

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