Incident date: 2020-10-05
NAICS industry code: 236210

An employee sustained head and neck injuries while removing a form panel that was used to form a pilaster as part of a concrete wall system. There were 12 clamping bolts originally holding the wall in place while the concrete was poured. Six clamping bolts had been removed prior to the employee ascending the wall. The employee's task was to remove four of the remaining clamping bolts while ascending the wall and then connect the rigging from the crane to the panel so it could be hoisted out of the area. When the employee was close to the top of the panel, the panel came free and tipped over. The employee was tied off to the panel utilizing a personal fall arrest system. The employee fell backward with the panel and landed on the ground. The employee was not struck by the form as it fell.

Hazard classification:
code_event: title: Other fall to lower level, unspecified
code_source: title: Structural elements, n.e.c.
code_nature: title: Soreness, pain, hurt-nonspecified injury
code_body: title: Head and neck
severity: moderate