TranslateAccident Report Detail
Accident: 201113982 - Employee Injured In Fall From Formwork
Accident: 201113982 -- Report ID: 0950643 -- Event Date: 06/24/2002 | |||||||
| Inspection | Open Date | SIC | Establishment Name | ||||
|---|---|---|---|---|---|---|---|
| 126188663 | 07/11/2002 | 1771 | J F Shea Const. Inc. | ||||
| At 12:00 p.m. on June 24, 2002, Employee #1 with J.F. Shea Construction, was building formwork for a concrete wall during the renovation of a County of Los Angeles Sewer Treatment Plant in Valencia, CA. He was climbing the formwork wearing a full body harness and lanyard for fall protection with a positioning hook attached to the body harness for a positioning device. At an elevation of 12 to 15 ft, Employee 1 attached his positioning hook to a vertical 2-in. by 4-in. wood stiff-back used to support and brace the horizontal wood form boards. The stiff-back boards were wedged in place with metal tie-backs and wedges. The metal wedges were held in place with eight-penny nails. As Employee 1 leaned back, the stiff-back to which he was attached twisted away from structure, causing him to fall backwards to the ground. He was hospitalized at Henry Mayo Hospital in Newhall, CA for a fractured right wrist, dislocated fifth lumbar vertebrae, and bruised right heel. | |||||||
Keywords:
concrete form work, fracture, lanyard, rib, fall, fall protection, tie-off, vertebra, concrete, wrist
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| End Use | Proj Type | Proj Cost | Stories | NonBldgHt | Fatality | ||
| Sewer/water treatment plant | New project or new addition | $5,000,000 to $20,000,000 | 20 | ||||
| Employee # | Inspection | Age | Sex | Degree | Nature | Occupation | Construction |
| 1 | 126188663 | Hospitalized injury | Fracture | Occupation not reported | FallDist: FallHt:15 Cause: Forming FatCause: Fall from/with structure (other than roof) |
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