Accident Report Detail

Accident Summary Nr: 119682.015 - Employee is killed in fall from ladder jack scaffold

Accident Summary Nr: 119682.015 -- Report ID: 0134000 -- Event Date: 09/06/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1429566.015	09/06/2019		238170	Paul Dubois

Abstract: At 3:40 p.m. on September 6, 2019, an Employee was conducting residential construction on the exterior wall cladding and after standing on a ladder jack scaffold, fell to the ground and was killed.

Keywords: Construction, Fall, Fall Protection, Residential Construction, Wall

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

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1429566.015	55	M	Fatality		Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Exterior cladding Fatality Cause:

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