PROJECTS ACCESS SCAFFOLDING & FORMWORK CO. W.L.L.

ACCIDENT REPORT
Information about the injured worker:
Name: Masood Akhter

CPR Card No: 810437139

Sex: Male

Nationality: Pakistani

Female

Occupation According To CPR Card: Scaffolder

Scaffolding Foreman

Occupation at the time of accident:

Address: Sitra

Tel No: 36261631

Accidents details:
Accident took place:
At the Site
from & to work

on

Date of Accident: 22/12/2015

Time of Accident: Approx. 09:30hrs

the

road

while

carrying

Place of Accident: Al Dur Power and Water Plant

Type of Accident:
Falling from above

Falling of materials or objects

Collusion with stationery or mobile objects

Crushing

Collusion with a vehicle

Electrical shock

Stumbling, falling or slipping

Explosion

Drowning or suffocation

Exposure to chemicals

Others (Specify)
Information about the injury
Resulted from the injury:
Death

Major Injury

Minor Injury

Injury leading to absence from work for three days or more

out

duties

Type of Injury:
Fracture
Cramp or Strain

Dislocation

Bruises

Shock

Amputation

Burns

Suffocation

Wound (Slash/scratch)

Multi-injuries

Other Injuries (Specify the type of injury)

Injured Part:
Head
Left ear

Face

Right ear
Back
Right hand fingers
Left hand fingers
Right Leg
Chest

Right eye

Both ears

Neck

Left Leg

Left hand

Pelvis
Both Legs

Both eyes

Right arm

Right hand

Abdomen

Left eye

Right foot

Left arm
Both hands

Upper part of the body

Left foot

Lower body

Others (Specify)
Details:
On 22/12/2015 at around 09:30hrs, Mr. Masood Akhter CPR#810437139 was lifting scaffolding
planks/boards, during the task suddenly he sustained severe back pain. He was taken to Al Rayan
hospital at around 11:00hrs.
Investigation:
Investigation revealed that Mr. Masood Akhter CPR#810437139 was working at Al Dur Power and Water
Plant with the scaffolding team for erecting scaffold. While shifting the scaffolding materials at STG 20
by passing the materials manually upward suddenly he sustained muscle cramp at the back after lifting
4m scaffolding plank. Immediately after he sustained the injury, he was given First Aid by the Al Dur
medical team and he was taken to Al Rayan Hospital for further treatment. After the checkup, the doctor
told it was a minor injury (cramp) due to the weakness and lack of nutrients.
Findings/Conclusion:

Directly lifted heavy materials without any warm up procedure.

Safe manual handling technique was applied.
Weakness of the body.

Recommendations:

Warm up is a must before any lifting job.

Maintain good health and consume more nutritional food.

Do not work if you are not feeling 100% well.
Toolbox talks to be conducted for all regarding Safe Working Procedures and Manual Handling
Technique.

Investigated By: Rajesh Gurung

Gurung

Prepared

By:

Trade: HSE Officer

Trade: HSE Officer

Dept: Safety

Dept: Safety

Rajesh