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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 1489809.015 - Cornerstone Forming, Llc

Inspection Information - Office: Atlanta East

Nr: 1489809.015Report ID: 0418100Open Date: 08/24/2020

Cornerstone Forming, Llc
Children Hospital Of Atlanta (Choa)2580 Briarcliff Road
Atlanta, GA 30329
Union Status: NonUnion
NAICS: 238190/ Other Foundation, Structure, and Building Exterior Contractors
Mailing: 2415 State Bern Roadnull, Cumming, GA 30040

Inspection Type:Fat/Cat
Scope:Complete Advanced Notice:N
Safety/Health:Safety Close Conference:09/29/2020
Emphasis: L:FallClose Case:02/04/2021

Related Activity:TypeIDSafetyHealth

Accident Investigation Summary
Summary Nr: 128954.015Event: 08/24/2020Foreman, Tied Off To Falling Concrete Form, Is Killed When C
At 10:50 a.m. on August 24, 2020, Employee #1 and a coworker, employed by a conc rete construction company, were working at a multi-employer project, the constru ction of a hospital building. They were in the process of lifting and repositio ning a pre-cast concrete column form, designated north side panel, using a tower crane operated by the coworker. Employee #1, the crew foreman, was tied off to another concrete form, designated west side panel. The two forms had been conn ected by pins, and all the pins but one had been removed. The one pin inadverte ntly remaining continued to connect the two panels. As the crane lifted the nor th panel approximately 3 inches to adjust its position, the remaining connecting pin broke free, which caused the west panel to twist and fall with Employee #1 still tied to it. The panel fell on top of Employee #1, and Employee #1 was cru shed between the panel and a generator. Employee #1 initially tried to talk and get up, but later that day he died from the crushing injuries.
Keywords: bolt, caught between, concrete panel, construction, crane, crushed, crushing, electric generator, fall, fall protection, form work, pin, tie-off, tower crane
Inspection Degree Nature Occupation
1 1489809.015 Fatality Occupation Not Listed

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