Accident Report Detail

Accident Summary Nr: 135769.015 - One employee is killed and another is injured in fall

Accident Summary Nr: 135769.015 -- Report ID: 0216000 -- Event Date: 05/19/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1532280.015	05/19/2021		238140	Km Builders Corp

Abstract: At 8:30 a.m. on May 19, 2021, Employee 1 and Employee 2 loaded material and equipment into an elevator cart while on the fifth floor of a building. At some point, the elevator cart fell with both employees inside. Employee 1 was killed and Employee 2 was hospitalized for his injuries.

Keywords: Cart, Elevator, Fall, Fall Protection

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		Alteration or rehabilitation			5		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1532280.015	40	M	Fatality		Brickmasons and stonemasons	Distance of Fall: 75 feet Worker Height Above Ground/Floor: 75 feet Cause: Interior masonry Fatality Cause:

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