Accident Report Detail

Accident Summary Nr: 125452.015 - Employee is killed in fall from roof

Accident Summary Nr: 125452.015 -- Report ID: 0134000 -- Event Date: 12/28/2019
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1463285.015	12/30/2019		238160	J.A.C. Exteriors, Inc.

Abstract: At 1:00 p.m. on December 28, 2019, an employee was working for a construction company. As the employee was working from the roof of a single family residence as part of a multiemployer project, he slipped and fell to the ground and was killed.

Keywords: Fall, Fall Protection, Frozen, Residential Construction, Roof, Roofer, Slippery Surface, Walking Surface

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition			2	16	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1463285.015	25	M	Fatality		Roofers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Roofing Fatality Cause:

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