Accident Report Detail

Accident Summary Nr: 120382.015 - Employee incurs multiple injuries in fall off scaffolding

Accident Summary Nr: 120382.015 -- Report ID: 0521700 -- Event Date: 10/02/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1435138.015	10/02/2019		236220	Z3 Solutions, Llc

Abstract: At 10:00 a.m. on October 2, 2019, Employee #1 was installing hat channel to the ceiling joist from a 6 foot high Bil-Jax mobile scaffold near a staircase. The caster wheels were not locked causing the scaffold to roll down the stairs. Employee #1 was hospitalized to treat a fractured right elbow, fractured ribs, and a fractured pelvis.

Keywords: Ceiling, Elbow, Fracture, Hospital, Joist, Mobile Scaffold, Pelvis, Rib

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		Alteration or rehabilitation			1

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1435138.015	60	M	Hospitalized injury		Carpenters	Distance of Fall: 10 feet Worker Height Above Ground/Floor: 6 feet Cause: Interior carpentry Fatality Cause:

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