OSHA Accident Investigation · Summary #689166
CONCRETE FORM WORK,HIGH WIND,PIER,FALL
Event description
STRUCK BY FALLING STEEL FORM
Investigation abstract
EMPLOYEE #1 WAS WORKING FROM THE TOP OF A 19 FOOT HIGH FREE-STANDING FORM, ATTEM IMPOSED WIND LOAD ON THE PANEL SURFACE. PTING TO INSTALL WOOD BLOCKOUTS TO GIVE FINAL FORM TO PIER 11H UNDER CONSTRUCTIO N. THE FORM CONSISTED OF 2 PARALLEL 9 BY 19 FOOT STEEL PANELS PANELS HELD APART BY STEEL ANGLE SECTIONS. THE FORM TOPPLED OVER TOWARDS THE SIDE EMPLOYEE #1 WAS HANGING TO AND HE WAS UNABLE TO JUMP CLEAR BEFORE THE FORM STRUCK THE GROUND. HI S RIGHT LOWER LEG WAS CAUGHT BETWEEN THE FORM EDGE AND THE GROUND BREAKING A LEG BONE AND DAMAGING THE LEG'S CIRCULATION (BLOOD). CONTRIBUTING FACTORS TO THE AC CIDENT WAS NO BRACING USED TO STABILIZE FORM, ANGLE SEPARATORS HOLDING THE FORM PANELS APART WERE PROBABLY LOOSE. FORM STANDING ON BLOCKS OUT OF PLUMB, AND THE
Victim
-
#1 Hospitalized Age 43 M
- Nature of injury
- 12
- Part of body
- 18
- Event type
- 2
- Source
- 43
- Occupation code
- 657
- Human factor
- 18
- Environmental factor
- 6
- Task assigned
- 1
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