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

OSHA Accident Investigation · Summary #571463

ADJUSTABLE FORMS INC

Event
ELECTRICAL, TRUCK CRANE, ELECTROCUTED, LOAD LINE, OVERHEAD POWER LINE, E C, OUTRIGGER, CRANE
NAICS
000000
Inspection type
Accident-driven
Activity number
#1333491
Employer profile
ADJUSTABLE FORMS INC
Summary number
571463
Report ID
524200

Event description

ELECTRIC SHOCK - CONTACT WITH OVERHEAD LINE THRU LOAD LINE

Investigation abstract

A CARPENTER WAS MAKING CONCRETE, METAL, AND WOOD FORMS AT A CONSTRUCTION SITE. H E WAS WORKING NEAR THE RIGHT REAR OUTRIGGER OF A TRUCK CRANE (GRAVE MODEL NO. 64 256, SERIAL NO. LG1513025) ALONG WITH TWO OTHER EMPLOYEES. A FOURTH EMPLOYEE, WH O WAS HOOKING BEAMS NORTH OF THE RIGHT FRONT OUTRIGGER, DRAGGED THE LOAD LINE IN TO A 7000-VOLT OVERHEAD POWER LINE. AS THE LOAD LINE CONTACTED THE POWER LINE, S PARKS AND NOISES WERE HEARD, CAUSING THE TWO EMPLOYEES WORKING WITH THE CARPENTE R TO RUN FROM THE CRANE. THE CARPENTER CONTACTED THE OUTRIGGER AND WAS ELECTROCU TED. (NO INJURY TO THE FOURTH EMPLOYEE WAS REPORTED.)

Victims (3)

  1. #1 Fatality Age 36 M

    Nature of injury
    10
    Part of body
    4
    Event type
    13
    Source
    15
    Occupation code
    567
    Human factor
    5
    Environmental factor
    8
    Task assigned
    1
  2. #981 Degree 0 Age 0

    Nature of injury
    0
    Part of body
    0
    Event type
    0
    Source
    0
    Occupation code
    0
    Human factor
    0
    Environmental factor
    0
    Task assigned
    0
  3. #982 Degree 0 Age 0

    Nature of injury
    0
    Part of body
    0
    Event type
    0
    Source
    0
    Occupation code
    0
    Human factor
    0
    Environmental factor
    0
    Task assigned
    0

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.