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### Inspection Detail

**Case Status: CLOSED**

#### **Inspection: 1452624.015 - Hausmann Construction Inc**

**Inspection Information - Office: Omaha**

 

**Inspection Nr**

**Report ID**

**Date Opened**

----

**Site Address**: 			   Hausmann Construction Inc			   1111 Q St.Lincoln, NE 68508

**Mailing Address**: 			   8545 Executive Woods Dr, Suite #1, Lincoln, NE 68512

**Union Status**: NonUnion

**SIC**:

**NAICS**: 236115/New Single-Family Housing Construction (except Operative Builders)

----

**Inspection Type**: Fat/Cat

**Scope**: Partial

**Advanced Notice**: N

**Ownership**: Private

**Safety/Health**: Safety

**Close Conference**: 12/20/2019

**Emphasis**:L:Xfallelec

**Case Closed**: 04/20/2020

----

**Case Status: CLOSED**

#### **Investigation Summary**

**Investigation Nr**

**Event**

At 1:30 p.m. on December 20, 2019, Employee #1, employed by a construction company, was engaged in concrete form work at 15-story commercial building. After climbing a 13-foot vertical form, he tied off at the top of the form.  The form tipped over and fell to the ground with the attached employee.  Employee #1 struck his head on the ground and, simultaneously, was struck by the 1,500-pound form.  He was killed.

**Keywords:**climbing, construction, falling object, form work, head, roll-over, skull, struck against, struck by, tie-off, unsecured
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