Accident Report Detail

Accident Summary Nr: 130486.015 - Employee fractures leg and back in fall from mobile scaffold

Accident Summary Nr: 130486.015 -- Report ID: 0418800 -- Event Date: 10/12/2020
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1498208.015	10/15/2020		238110	Omni Construction , Llc

Abstract: At 1:00 p.m. on October 12, 2020, an employee working as a carpenter apprentice for a structural concrete contractor was performing form work. A coworker moved the mobile scaffold causing the employee to fall. The employee was hospitalized to treat fractures to his left leg and lower back.

Keywords: Apprentice, Back, Blunt force, Blunt force trauma, Carpenter, Commercial Building, Concrete Form Work, Construction, Fall, Fall From Elevation, Fracture, Leg, Material Handling, Miscommunication, Misjudgment, Misjudgment of Hazardous Situation, Mobile Scaffold, Scaffold

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition				20

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1498208.015	21	M	Hospitalized injury		Carpenter apprentices	Distance of Fall: 20 feet Worker Height Above Ground/Floor: feet Cause: Forming Fatality Cause:

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