Accident Report Detail

Accident Summary Nr: 170871776 - Employee Injured When Hit By Come-Along

Accident Summary Nr: 170871776 -- Report ID: 0950621 -- Event Date: 10/06/2001
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
125808022	12/19/2001	1623	0	Sierra National Construction, Inc.

Abstract: At approximately 11:00 a.m. on October 10, 2001, Employee #1, a concrete mason, was working as part of a crew that was removing the concrete forms from inside a box culvert. The forms were 8-ft by 2-ft steel frames with 1-in. plywood sheeting. The ceiling area had bowed down in an area pinching the forms. To remove the forms the crew was using two cables come-along to pull the bottoms out while placing pressure on one of the come-along the hook attached to the form came loose and snapped back strike Employee #1 in the face. Employee #1 suffered a broken cheekbone and was hospitalized overnight.

Keywords: CONCRETE FORM WORK, FRACTURE, HAND WINCH, STRUCK BY, FACE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other heavy construction		New project or new addition		$500,000 to $1,000,000

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	125808022			Hospitalized injury	Fracture	Concrete and terrazzo finishers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause: Struck by falling object/projectile

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