Accident Report Detail

Accident Summary Nr: 111917.015 - Employee falls through floor opening and receives fractured

Accident Summary Nr: 111917.015 -- Report ID: 0454712 -- Event Date: 12/13/2018
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1366836.015	12/18/2018		236220	Dakota Legacy Group, Llc

Abstract: At 2:00 p.m. on December 13, 2018, an employee was sweeping the work area. At some point, the employee then fell approximately thirteen feet through a floor hole and hospitalized for fractures to his arm and ribs and a head contusion.

Keywords: Arm, Contusion, Fall, Fall Protection, Floor Hole, Fracture, Head, Rib, Sweeper

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition			2	25

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Construction
1	1366836.015	33	M	Hospitalized injury		Distance of Fall: 13 feet Worker Height Above Ground/Floor: 13 feet Cause: Temporary work (buildings, facilities) Fatality Cause:

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