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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 689166 - Struck By Falling Steel Form

Accident: 689166 -- Report ID: 0552700 -- Event Date: 05/28/1985
InspectionOpen DateSICEstablishment Name
1490562405/30/19851622Johnson Brothers Corporation
EMPLOYEE #1 WAS WORKING FROM THE TOP OF A 19 FOOT HIGH FREE-STANDING FORM, ATTEMPTING TO INSTALL WOOD BLOCKOUTS TO GIVE FINAL FORM TO PIER 11H UNDER CONSTRUCTION. THE FORM CONSISTED OF 2 PARALLEL 9 BY 19 FOOT STEEL PANELS PANELS HELD APART BY STEEL ANGLE SECTIONS. THE FORM TOPPLED OVER TOWARDS THE SIDE EMPLOYEE #1 WAS HANGING TO AND HE WAS UNABLE TO JUMP CLEAR BEFORE THE FORM STRUCK THE GROUND. HIS RIGHT LOWER LEG WAS CAUGHT BETWEEN THE FORM EDGE AND THE GROUND BREAKING A LEG BONE AND DAMAGING THE LEG'S CIRCULATION (BLOOD). CONTRIBUTING FACTORS TO THE ACCIDENT WAS NO BRACING USED TO STABILIZE FORM, ANGLE SEPARATORS HOLDING THE FORM PANELS APART WERE PROBABLY LOOSE. FORM STANDING ON BLOCKS OUT OF PLUMB, AND THE IMPOSED WIND LOAD ON THE PANEL SURFACE.
Keywords: concrete form work, high wind, pier, fall
Employee # Inspection Age Sex Degree Nature Occupation
1 14905624 Hospitalized injury Fracture Cabinet makers and bench carpenters

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