Accident Report Detail

Accident Summary Nr: 119999.015 - Employee incurs multiple injuries in fall from ladder jack s

Accident Summary Nr: 119999.015 -- Report ID: 0419700 -- Event Date: 09/09/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1431536.015	09/19/2019		238170	Vargas Quality Construction, Llc.

Abstract: At 6:30 a.m. on September 9, 2019, an employee was installing window wrap. A ladder used for the ladder jack scaffold system slipped from underneath the employee, which caused him to fall 17 feet to the concrete surface. The employee was hospitalized to treat a back injury, fractured finger, shoulder injury and a laceration.

Keywords: Back, Concrete Floor, Fall, Fall From Elevation, Finger, Fracture, Installing, Laceration, Ladder, Ladder Jack Scaffold, Shoulder, Slip

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1431536.015	36	M	Hospitalized injury		Installers And Repairers

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