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Accident Summary Nr: 101081.015 - Employee falls from scaffold and incurs a concussion and fra

Accident Summary Nr: 101081.015 -- Report ID: 0523400 -- Event Date: 11/07/2017
Inspection NrDate OpenedSICNAICSEstablishment Name
1278693.01511/21/2017238190Luis Perez Home Improvement

Abstract: At 5:00 p.m. on November 7, 2017, Employee #1, employed by a home improvement company, was working at a two-story residential structure. He was working from a ladder jack scaffold and installing metal siding when he fell. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for a concussion and multiple fractures.

Keywords: Concussion, Fall, Fall Protection, Fracture, Installing, Ladder Jack Scaffold, Metal Siding, Residential Construction, Scaffold
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Single family or duplex dwelling Maintenance or repair   2

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation Construction
1 1278693.015 57 M Hospitalized injury Construction laborers Distance of Fall: feet
Worker Height Above Ground/Floor: feet
Cause: Installing metal siding
Fatality Cause:

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