Accident Report Detail

Accident Summary Nr: 200357598 - Concrete Worker Falls 18 Feet

Accident Summary Nr: 200357598 -- Report ID: 0453710 -- Event Date: 02/11/2009
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
312954225	02/12/2009	1771	238190	Jose Juarez Dba National Concrete Llc

Abstract: On February 11, 2009, Employee #1, a 40-year-old male, with Jose Juarez Dba National Concrete and was removing metal forms from concrete retaining walls when he attached his positioning device to a piece of bent rebar. The locking snap hook on the positioning device slipped off the rebar and Employee #1 fell approximately eighteen-feet to a concrete surface below. Employee #1 sustained minor injuries and was treated at a hospital for bruises, contusions and abrasions.

Keywords: SNAPHOOK ROLLOUT, PPE, FALL, CONCRETE, CONTUSION

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition		$5,000,000 to $20,000,000	4

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	312954225			Hospitalized injury	Bruise/Contus/Abras	Construction laborers

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