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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Accident Investigation · Summary #14347686

CONCRETE FORM WORK,VIBRATIONS,CONSTRUCTION,SCAFFOLD COLLAPSE,STRUCK BY,FALLING OBJECT

Event
CONCRETE FORM WORK,VIBRATIONS,CONSTRUCTION,SCAFFOLD COLLAPSE,STRUCK BY,FALLING OBJECT
Linked inspection
No inspection record linked to this accident's victims.
Summary number
14347686
Report ID
418300

Event description

Five employees injured when concrete forms fall

Investigation abstract

On May 12, 1987, Employees #1 through #5 were pouring two plate girders and fini yees #1 through #5 were injured. shing them into forms that were positioned 28 feet above the ground. The outside of the concrete forms measured 2 ft wide, 6 ft deep, and 43 ft 4 in. long. The inside measured 2 ft by 6 ft by 41 ft 10 in. The outside form had been filled to capacity, which was 16 cubic yd of concrete. The inside form had been filled to 10 cubic yd.. Employees #2 and #5 were finishing the concrete in the outside fo rm, working about midway along the inside. Employees #1, #3 and #4 were vibratin g the concrete from the inside of the inside form. The scaffold that was support ing the south end of the outside form gave way, causing the forms to fall. Emplo

Victims (7)

  1. #1 Non-hospitalized injury Age 25 M

    Nature of injury
    3
    Part of body
    19
    Event type
    5
    Source
    8
    Occupation code
    999
    Human factor
    4
    Environmental factor
    8
    Task assigned
    1

  2. #2 Hospitalized Age 48 M

    Nature of injury
    7
    Part of body
    5
    Event type
    5
    Source
    8
    Occupation code
    999
    Human factor
    4
    Environmental factor
    8
    Task assigned
    1

  3. #3 Hospitalized Age 35 M

    Nature of injury
    12
    Part of body
    16
    Event type
    5
    Source
    8
    Occupation code
    999
    Human factor
    4
    Environmental factor
    8
    Task assigned
    1

  4. #4 Hospitalized Age 39 M

    Nature of injury
    12
    Part of body
    3
    Event type
    5
    Source
    8
    Occupation code
    999
    Human factor
    4
    Environmental factor
    8
    Task assigned
    1

  5. #5 Hospitalized Age 36 M

    Nature of injury
    9
    Part of body
    22
    Event type
    5
    Source
    8
    Occupation code
    999
    Human factor
    4
    Environmental factor
    8
    Task assigned
    1

  6. #981 Degree 0 Age 0

    Nature of injury
    0
    Part of body
    0
    Event type
    0
    Source
    0
    Occupation code
    0
    Human factor
    0
    Environmental factor
    0
    Task assigned
    0

  7. #982 Degree 0 Age 0

    Nature of injury
    0
    Part of body
    0
    Event type
    0
    Source
    0
    Occupation code
    0
    Human factor
    0
    Environmental factor
    0
    Task assigned
    0

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