Accident Report Detail

Accident Summary Nr: 111042.015 - Employee receives large hematoma to head after fall from sca

Accident Summary Nr: 111042.015 -- Report ID: 0950615 -- Event Date: 11/08/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1360643.015	11/14/2018		238170	Kibuk Construction

Abstract: At 3:15 on November 8, 2018, an employee was working from a ladder jack scaffold to install siding. As the employee attempted to access the ladder jack scaffold by stepping onto the scaffold plank that was laying on the ladder jack and the decking, he lost balance and fell ten feet. The employee was treated at a local hospital for a large hematoma to the head.

Keywords: Access/Egress, Contusion, Fall, Head, Installing, Ladder Jack Scaffold, Lost Balance, Scaffold

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		Maintenance or repair			2	10

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1360643.015	52	M	Hospitalized injury		Laborers, except construction	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Installing windows and doors, glazing Fatality Cause:

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