Accident Report Detail

Accident Summary Nr: 200673747 - Employee killed in fall from air shaft

Accident Summary Nr: 200673747 -- Report ID: 0418800 -- Event Date: 04/18/2002
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
305494619	04/18/2002	1522	0	Miller & Solomon General Contractor, Inc.

Abstract: At approximately 11:45 a.m. on April 18, 2002, Employee #1 was removing a cover, called a form, from an air shaft. He fell 90 ft to the bottom of the shaft and was killed. The form was constructed of two 4-by-4s and a 3-by-4 sheet of 0.75-in. plywood. The form was secured in place with four Ellis jacks.

Keywords: COVER, AIR SHAFT, CONSTRUCTION, ABRASION, FALL, JACK, CONTUSION

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition		$20,000,000 and over	90		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	305494619			Fatality	Bruise/Contus/Abras	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: 90 feet Cause: Interior carpentry Fatality Cause: Fall through opening (other than roof)

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