Accident Report Detail

Accident Summary Nr: 136425.015 - Employee fractures leg in fall from elevation

Accident Summary Nr: 136425.015 -- Report ID: 0950633 -- Event Date: 03/02/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1537308.015	05/14/2021		238160	California Premier Roofscapes Inc.

Abstract: At 4:15 p.m. on March 2, 2021, an employee was standing on the roof when the employee fell approximately 20 feet onto the ground. The employee suffered a fractured left leg and was hospitalized.

Keywords: Elevated Work Plat, Elevated Work Platform, Fall, Fracture, Leg

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	1537308.015	47	M	Hospitalized injury		Construction Laborer	Distance of Fall: 20 feet Worker Height Above Ground/Floor: feet Cause: Roofing Fatality Cause:

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