Accident Report Detail

Accident Summary Nr: 126902.015 - Employee falls and suffers fractures and concussion

Accident Summary Nr: 126902.015 -- Report ID: 0355112 -- Event Date: 06/10/2020
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1478459.015	06/12/2020		238910	Excel Paving Corporation

Abstract: At 1:15 p.m. on June 10, 2020, Employee #1 working for a site preparation contractor. Employee #1 was raking asphalt/gravel in a raised parking area during paving activities while walking backward. Employee #1 tripped over a curb and fell from an elevation of approximately 4' 9" to a sidewalk below. Employee #1 suffered a skull fracture and concussion, resulting in hospitalization.

Keywords: Asphalt, Concrete, Concussion, Elevated, Elevated Work Plat, Elevated Work Platform, Fall, Fall From Elevation, Fracture, Hand Tool, Hospital, Medical Attention, Road Paving, Sidewalk, Skull, Tripped

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Highway, road, street		New project or new addition				5

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1478459.015	60	M	Hospitalized injury		Paving, Surfacing & Tamping Equipment Operator	Distance of Fall: 5 feet Worker Height Above Ground/Floor: 5 feet Cause: Paving Fatality Cause:

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