OSHA Accident Investigation · Summary #221417231

NATIVE SUN MATERIALS INC.

DENVER, CO· 2021-12-07T00:00:00

Event: Back, Brain Bleed, Crane, Elevator, Fall, Fall From Elevation, Fall Protection, Fracture, Hoist, Leg, Load Shift, Loss of consciousness, Pelvis, Scaffold, Stair, Unconsciousness, Wrist
NAICS: 238910
Inspection type: Referral
Activity number: #345674188
Employer profile: NATIVE SUN MATERIALS INC.
Summary number: 221417231
Report ID: 0830500
Project type: A
Construction end-use: B

Event description

Employee falls from scaffold form and receives multiple inju

Investigation abstract

At 12:30 p.m. on December 7, 2021, an employee worked to reposition scaffolding form system to the next higher bracket on an elevator and stairway core. As the system was hoisted by crane, the system shifted and turned ninety degrees and the employee fell approximately sixty-five feet. The employee landed on their feet, but lost consciousness. Shortly after, the employee regained consciousness and was hospitalized to treat a possible brain bleed, injury to pelvis, back injuries, leg fracture and wrist injuries.

Victim

#1 Hospitalized Age 21 M

Event type
5

Fall distance
65

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