Accident Report Detail

Accident Summary Nr: 122803.015 - Employee fractures spinal disc in fall from scaffold

Accident Summary Nr: 122803.015 -- Report ID: 0134000 -- Event Date: 09/18/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1431616.015	09/18/2019		236118	Built-Well Construction Co., Llc

Abstract: At 10:45 a.m. on September 18, 2019, an employee was setting up a ladder jack scaffold. The ladder jack bracket shifted causing the bracket to fall and the employee fell to a lower level. The employee sustained a spinal disc fracture and was hospitalized.

Keywords: Disc, Fall, Fall From Elevation, Fall Protection, Fracture, Ladder Jack Scaffold, Spine

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		Alteration or rehabilitation			3

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Construction
1	1431616.015	60	M	Hospitalized injury		Distance of Fall: 13 feet Worker Height Above Ground/Floor: 13 feet Cause: Exterior carpentry Fatality Cause:

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