OSHA Accident Investigation · Summary #14498414
CONCRETE FORM WORK,HEAD,COLLAPSE,UNSECURED,WORK RULES,CONSTRUCTION,CAUGHT BETWEEN,STRUCK BY,FALLING OBJECT
Event description
One killed, one injured by collapsing concrete form
Investigation abstract
Employees #1 and #2 and two coworkers were instructed to decrease the width of a de the form had just stooped down to reach for a wrench and was not injured. Emp loyee #2, cleaning concrete inside the form, was slightly injured. n approximately 6,000 lb adjustable metal concrete form. The form was 5 ft high by 10 ft wide by 20 ft long. The employees were told to change the width to 8 ft . They removed the twelve 3/4 in. by 2 in. quick bolts from six overhead headers . These headers are adjustable 6 in. channels that allow the width of the metal concrete form to be changed. Employee #1 and a coworker were working inside the concrete form, while Employee #2 and the other coworker were working at the outs ide ends of the form. After they removed the bolts, the form collapsed inward, s triking Employee #1 on both sides of his head and killing him. The coworker insi
Victims (2)
-
#1 Fatality Age 23 M
- Nature of injury
- 2
- Part of body
- 13
- Event type
- 2
- Source
- 28
- Occupation code
- 999
- Human factor
- 1
- Environmental factor
- 4
- Task assigned
- 1
-
#2 Non-hospitalized injury Age 21 M
- Nature of injury
- 3
- Part of body
- 3
- Event type
- 1
- Source
- 28
- Occupation code
- 999
- Human factor
- 1
- Environmental factor
- 4
- Task assigned
- 1
Codes shown verbatim from OSHA's accident-investigation database. A human-readable decoder is coming in a future release once the accident_lookup2 dictionary is loaded.