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Accident Report Detail

Accident Summary Nr: 121647.015 - Employee is killed in fall from second floor

Accident Summary Nr: 121647.015 -- Report ID: 0215000 -- Event Date: 11/11/2019
Inspection NrDate OpenedSICNAICSEstablishment Name
1444573.01511/12/2019238130R.V. M Carpentry, Inc.

Abstract: At 7:45 a.m. on November 11, 2019, Employee #1 was cleaning debris from materials, while performing temporary work (buildings and facilities), during a residential construction project. As Employee #1 cleaned these materials, he then inadvertently fell through an opening, landing approximately 25 feet below to the basement from the second floor. Employee #1 suffered blunt force trauma as a result of his injuries and was killed.

Keywords: Blunt force, Blunt force trauma, Building, Cleaning, Contact, Falling Object, Guard, Loss of consciousness, Lost Balance, Obstructed View, Residential Construction, Tripped, Unconsciousness, Unguarded Fl Opening, Unsecured
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 Construction
1 1444573.015 27 M Fatality Distance of Fall: 25 feet
Worker Height Above Ground/Floor: 25 feet
Cause: Temporary work (buildings, facilities)
Fatality Cause:

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