Accident Report Detail

Accident Summary Nr: 104279.015 - Employee falls from scaffold while installing fire tape and

Accident Summary Nr: 104279.015 -- Report ID: 1032500 -- Event Date: 03/28/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1305231.015	03/29/2018		541410	Superior Interiors, Inc.

Abstract: At 10:00 a.m. on March 28, 2018, an employee was installing fire tape while on a scaffold and fell. The employee suffered a fractured back and collarbone when he struck the concrete floor. The employee was hospitalized.

Keywords: Back, Collarbone, Concrete Slab, Elevated Work Plat, Fall, Fracture, Scaffold

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition			3	22

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1305231.015	19	M	Hospitalized injury		Drywall installers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Fireproofing Fatality Cause:

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