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 Nr	Date Opened	SIC	NAICS	Establishment Name
1444573.015	11/12/2019		238130	R.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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