Accident Report Detail

Accident Summary Nr: 107222.015 - Employee injures back and lacerates ears in fall from second

Accident Summary Nr: 107222.015 -- Report ID: 0134000 -- Event Date: 05/22/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1317630.015	05/22/2018		236118	Ima Construction Corp.

Abstract: At 2:45 p.m. on May 22, 2018, an employee was doing exterior carpentry work on the second level of a house. He lost his balance while walking on a 2 inch by 4 foot long wood board and fell 10 feet to the ground. The employee was hospitalized due to unspecified injuries to his back and lacerations to his ears.

Keywords: Back, Board, Carpenter, Ear, Fall, Fall Protection, Laceration, Lost Balance, Tripped

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Alteration or rehabilitation				10

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1317630.015	41	M	Hospitalized injury		Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Exterior carpentry Fatality Cause:

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