Accident Report Detail

Accident Summary Nr: 110684.015 - Employee receives unspecified injuries in fall from scaffold

Accident Summary Nr: 110684.015 -- Report ID: 0830500 -- Event Date: 11/01/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1358191.015	11/05/2018		238170	Nb Siding Construction Llc

Abstract: At 3:00 p.m. on November 1, 2018, an employee was winding down one side of a pump jack scaffold and lowered it too far. This caused excessive stress on a pin holding the scaffold decking. The pin broke and the decking swung down causing the employee to fall fifteen feet. The employee was hospitalized for unspecified injuries.

Keywords: Fall, Pump Jack Scaffold, Scaffold, Scaffold Collapse

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition			2	15

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1358191.015	55	M	Hospitalized injury		Construction Laborer	Distance of Fall: 15 feet Worker Height Above Ground/Floor: 15 feet Cause: Exterior cladding Fatality Cause:

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