Accident Report Detail

Accident Summary Nr: 201065349 - Employee's Leg Amputated

Accident Summary Nr: 201065349 -- Report ID: 0950632 -- Event Date: 06/26/2002
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
300790755	07/02/2002	1542	0	J R Construction

Abstract: On June 26, 2002, Employee #1 was stripping 15 ft. gang forms used to construct concrete walls. The form was not properly anchored or braced while Employee #1 was on it. The wall fell over and crushed Employee #1's leg. Employee #1 leg was amputated. Employee #1 was taken to the hospital and treated for his injuries.

Keywords: ANCHOR, AMPUTATED, WALL, CONSTRUCTION, CRUSHED, BRACE, FALL, CONCRETE, LEG

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition		$500,000 to $1,000,000	2	25

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	300790755			Hospitalized injury	Amputation	Carpenters	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause: Collapse of structure

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