Inspection Detail

Inspection: 300453123 - Concrete Form Erectors Inc

Inspection Information - Office: Tennessee Osha Nashville Office - Safety

Inspection Nr: 300453123

Report ID: 0454712

Date Opened: 04/11/1997

Site Address:
Concrete Form Erectors Inc
Library At Mtsu
Murfreesboro, TN 37130

Mailing Address:
P. O. Box 90723, Nashville, TN 37209

Union Status: NonUnion

SIC:1771

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/15/1997

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 04/15/1997

Related Activity
Type	Activity Nr	Safety	Health
Accident	361011828

Investigation Summary

Investigation Nr: 170758684

Event: 04/11/1997

Employee killed in fall when knocked off roof

Employee #1, a foreman, and two coworkers were on the roof of the new central library at MTSU, dismantling the inside form of an elevator shaft. The form was suspended by a crane that the coworkers had hooked it up to. As his coworkers set aside some equipment, Employee #1 stood by the form wall and talked with the crane operator by radio. The wind caught the form and caused it to spin counterclockwise. Employee #1 was trying to get out of the path of the form wall when it struck him in the back and knocked him over roof the guardrail system. Employee #1 fell 56 ft; he died while en route to the hospital.

Keywords: CLEARANCE, HIGH WIND, ROOF, DISMANTLING, WORK RULES, SUSPENDED LOAD, CONSTRUCTION, FALL, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300453123			Fatality	Bruise/Contus/Abras	Occupation not reported

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