Accident Report Detail

Accident Summary Nr: 132520.015 - Employee Is Killed In Fall From Roof

Accident Summary Nr: 132520.015 -- Report ID: 0214700 -- Event Date: 01/18/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1510645.015	01/19/2021		236220	John'S Home Improvement Llc

Abstract: At 3:30 p.m. on January 18, 2021, an employee worked on a roof cutting roofing m aterials. At some point, while stepping backward, the employee fell approximatel y thirty feet. The employee was killed by head trauma.

Keywords: blunt force trauma, cutting, fall, fall protection, head, roof, roofer, walking backward

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		Other			2		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree	Nature of Injury	Occupation	Construction
1	1510645.015	27	M	Fatality		Roofers	Distance of Fall: 30 feet Worker Height Above Ground/Floor: feet Cause: Roofing Fatality Cause:

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DEPARTMENT OF LABOR

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