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Accident: 201040177 - Employee Injured When Formwork Scaffold Collapses

Accident: 201040177 -- Report ID: 0953220 -- Event Date: 12/02/1996
InspectionOpen DateSICEstablishment Name
30076610212/02/19968711Mk Centennial - Centennial Engineering, Inc.
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 # Inspection Age Sex Degree Nature Occupation
1 300766102 Non Hospitalized injury Bruise/Contus/Abras Construction inspectors

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