Accident Report Detail

Accident Summary Nr: 133892.015 - Employee incurs multiple fractures and contusions in fall fr

Accident Summary Nr: 133892.015 -- Report ID: 0552651 -- Event Date: 12/23/2020
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1508414.015	01/04/2021		238990	Vanlaan Concrete Construction, Inc.

Abstract: At 10:45 a.m. on December 23, 2020, an employee was dismantling a scaffold. The employee stepped onto an unsupported cantilevered scaffold plank and fell to the ground. The employee was hospitalized to treat multiple fractures and contusions.

Keywords: Contusion, Dismantling, Fall, Fall From Elevation, Fracture, Plank, Scaffold

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition			1

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1508414.015	58	M	Hospitalized injury		Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Pouring concrete foundations and walls Fatality Cause:

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