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Accident: 201065349 - Employee'S Leg Amputated

Accident: 201065349 -- Report ID: 0950632 -- Event Date: 06/26/2002
InspectionOpen DateSICEstablishment Name
30079075507/02/20021542J R Construction
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
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Other building New project or new addition $500,000 to $1,000,000 2 25
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 300790755 Hospitalized injury Amputation Carpenters FallDist:
FallHt:
Cause: Forming
FatCause: Collapse of structure

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