Accident Report Detail

Accident Summary Nr: 136589.015 - Employee is injured in fall from scaffold

Accident Summary Nr: 136589.015 -- Report ID: 0950641 -- Event Date: 12/31/2020
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1517029.015	02/26/2021		236220	Ncc Construction & Development Inc.

Abstract: At 11:00 a.m. on December 31, 2020, an employee was working on a scaffold, when he fell. The employee sustained unspecified injuries and was hospitalized for treatment.

Keywords: Fall, Fall From Elevation, Scaffold

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition			2

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1517029.015	51	M	Hospitalized injury		Construction laborers	Distance of Fall: 13 feet Worker Height Above Ground/Floor: 13 feet Cause: Forming Fatality Cause:

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