Accident Report Detail

Accident Summary Nr: 133791.015 - Employee sustains multiple injuries in fall from scaffold

Accident Summary Nr: 133791.015 -- Report ID: 0552651 -- Event Date: 01/29/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1513194.015	02/04/2021		238310	Fiberclass Insulation, Llc

Abstract: At 4:30 p.m. on January 29, 2021, Employee #1, employed by an insulation contractor, was working at the construction site for a two-story residential structure. He was moving a welded frame mobile scaffold while positioned 12 feet above the first floor on the scaffold's work platform. During this process, the employee rolled into a floor ductwork hole, a fall height of 12 feet. This appears to have occurred when the scaffold collapsed. The employee was transported to the hospital and admitted for treatment of fractures to the left elbow and hip and a laceration to the forehead that required stitches.

Keywords: Blunt force trauma, Elbow, Elevated Work Platform, Face, Fall, Floor Hole, Forehead, Fracture, Hip, Laceration, Mobile Scaffold, Residential Construction, Scaffold, Structural Collapse, Structure Moving

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition			2

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1513194.015	40	M	Hospitalized injury		Insulation Workers	Distance of Fall: 12 feet Worker Height Above Ground/Floor: 12 feet Cause: Fatality Cause:

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