Accident Report Detail

Accident Summary Nr: 122167.015 - Employee fractures collar bone and incurs head trauma in fal

Accident Summary Nr: 122167.015 -- Report ID: 0830100 -- Event Date: 11/14/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1447013.015	11/19/2019		236115	Signature Builders Inc.

Abstract: At 1:30 p.m. on November 14, 2019, an employee was measuring rafters. The employee stepped off the Genie scissor lift while measuring rafters and fell 13 feet to the concrete below. The entry gate to the scissor lift was tied open. The employee was hospitalized to treat a broken collar bone and head trauma.

Keywords: Broken Bone, Collarbone, Concrete Floor, Fall, Fall From Elevation, Fracture, Head, Measuring Device, Rafter, Scissor lift, Traumatic

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition				13

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Construction
1	1447013.015	41	M	Hospitalized injury		Distance of Fall: 13 feet Worker Height Above Ground/Floor: 13 feet Cause: Temporary work (buildings, facilities) Fatality Cause:

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