OSHA Accident Investigation · Summary #14456834

WEYHER BROTHERS COMPANY

SALT LAKE CITY, UT— 1985-01-15T00:00:00

Event: CONCRETE FORM WORK, FRACTURE, SHOULDER, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, FLOOR OPENING, LOST BALANCE, UNGUARDED
NAICS: 000000
Inspection type: Accident-driven
Activity number: #15187404
Employer profile: WEYHER BROTHERS COMPANY
Summary number: 14456834
Report ID: 854910

Event description

Employee fractures shoulder in fall from concrete form

Investigation abstract

At 11:40 a.m. on January 15, 1985, Employee #1 was working on a concrete form. H e needed a 40 in. by 40 in. piece of plywood to finish the flooring. Having cut a piece of plywood at floor level, Employee #1 stepped down 18 in. to the form. Turning to get the piece of plywood, he lost his balance and fell 12 ft through a hole to the concrete floor. He then rolled off this floor and fell another 12 ft to the ground. Employee #1 broke a bone in his left shoulder, for which he wa s hospitalized.

Victim

#1 Hospitalized Age 50 M

Nature of injury
12

Part of body
21

Event type
5

Source
42

Occupation code
567

Human factor
1

Environmental factor
13

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.