Accident Report Detail

Accident Summary Nr: 133033.015 - Employee falls from mobile scaffold and fractures collar bon

Accident Summary Nr: 133033.015 -- Report ID: 0418800 -- Event Date: 02/04/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1513445.015	02/04/2021		236115	Naples Executive Builders, Inc.

Abstract: At 10:00 a.m. on February 4, 2021, Employee #1 was working for a single-family residence general contractor. Employee #1 was stripping forms while working from a mobile scaffold. The mobile scaffold was being moved. The scaffold overturned causing Employee #1 to fall to the cement floor. Employee #1 suffered a fractured collar bone and was hospitalized.

Keywords: Collarbone, Concrete, Concrete Floor, Construction, Elevated, Elevated Work Plat, Elevated Work Platform, Fall, Fall From Elevation, Fracture, Mobile Scaffold, Moving, Overturn, Residential Construction, Scaffold, Tip, Tips Over

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition				18

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1513445.015	33	M	Hospitalized injury		Construction laborers	Distance of Fall: 13 feet Worker Height Above Ground/Floor: 13 feet Cause: Stripping and curing concrete Fatality Cause:

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