Accident Report Detail

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 Nr	Date Opened	SIC	NAICS	Establishment Name
1278693.015	11/21/2017		238190	Luis 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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