Accident Report Detail

Accident Summary Nr: 139906.015 - Employee is killed in fall through floor opening

Accident Summary Nr: 139906.015 -- Report ID: 0728900 -- Event Date: 10/05/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1556482.015	10/06/2021		238110	Better Block-N-Brick, Llc

Abstract: At 9:15 a.m. on October 5, 2021, an employee filled seams with grout using a 1993 MAYCO ST30 pull behind concrete pump. While walking to another seam, the employee turned and fell approximately twelve feet through a floor opening. The employee received a head injury and was killed.

Keywords: Concrete Pump, Fall, Fall Protection, Floor, Floor Opening, Head

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition			1		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1556482.015	35	M	Fatality		Construction laborers	Distance of Fall: 12 feet Worker Height Above Ground/Floor: 12 feet Cause: Pouring or installing floor decks Fatality Cause:

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