105,313Records 71,083Employers 85,290Hospitalizations 27,770Amputations 2015-01-01 2025-10-31
Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Accident Investigation · Summary #691907

CONCRETE FORM WORK,HEAD,UNSECURED,WORK RULES,CONSTRUCTION,BACK,STRUCK BY,FALLING OBJECT

Event
CONCRETE FORM WORK,HEAD,UNSECURED,WORK RULES,CONSTRUCTION,BACK,STRUCK BY,FALLING OBJECT
Linked inspection
No inspection record linked to this accident's victims.
Summary number
691907
Report ID
854910

Event description

Employee injured when struck by falling concrete form

Investigation abstract

On October 22, 1986, Employee #1 and the superintendent were removing concrete f orms from three doorways in a new maintenance shop being built in Solitude, UT. Forms had been removed from two doorways and the two employees were just startin g on doorway #3, the north door. Two braces had been removed and employees were ready to remove the other two braces. Employee #1 was working on the south end o f the doorway and the superintendent was working at the north end. The brace at the north end came out first, letting the form twist and fall 14 ft, striking Em ployee #1 across the head and back. Employee #1 was taken to Cottonwood Hospital .

Victim

  1. #1 Hospitalized Age 26 M

    Nature of injury
    12
    Part of body
    19
    Event type
    1
    Source
    8
    Occupation code
    567
    Human factor
    1
    Environmental factor
    6
    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.