Accident Report Detail

Accident Summary Nr: 101164.015 - Employee falls from roof and incurs multiple fractures

Accident Summary Nr: 101164.015 -- Report ID: 0950615 -- Event Date: 11/21/2017
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1279254.015	11/28/2017		238160	Petersen-Dean, Inc.

Abstract: At 9:30 a.m. on November 21, 2017, Employee #1, employed by a construction company, was engaged in a roof installation for a new residential structure. He lost his balance and fell, a fall height of 15 feet. Emergency services were called, and Employee #1 was transported to the hospital, admitted, and treated for multiple injuries, including fractures of his left leg and ankle and the lumbar spine.

Keywords: Ankle, Fall, Fall Protection, Fracture, Installing, Leg, Lost Balance, Residential Construction, Roof, Vertebra

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition			1	20

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1279254.015	35	M	Hospitalized injury		Roofers	Distance of Fall: 15 feet Worker Height Above Ground/Floor: 15 feet Cause: Roofing Fatality Cause:

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