Accident Report Detail

Accident Summary Nr: 111499.015 - Employees falls and receives bone fracture

Accident Summary Nr: 111499.015 -- Report ID: 1054111 -- Event Date: 05/30/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1363564.015	06/14/2018	1521	236115	317720928 - Forest Wood Construction Llc

Abstract: At 12:00 p.m. on May 30, 2018, an employee was installing sheathing on a second story roof when he slipped, lost his balance and fell approximately twenty-two feet. The employee was hospitalized for unspecified bone fracture injury.

Keywords: Fall, Fall Protection, Fracture, Installing, Lost Balance, Roof, Roofer, Slip

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition		$1,000,000 to $5,000,000	3	27

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1363564.015	45	M	Hospitalized injury		Occupation not reported	Distance of Fall: 27 feet Worker Height Above Ground/Floor: 27 feet Cause: Exterior carpentry Fatality Cause:

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