Accident Report Detail

Accident Summary Nr: 139130.015 - Employee falls off scaffold, lacerates head, bruises shoulde

Accident Summary Nr: 139130.015 -- Report ID: 0950614 -- Event Date: 03/15/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1521501.015	03/24/2021		236220	Hermsmeyer Painting Company Incorporated

Abstract: At approximately 1:15 p.m. on March 15, 2021, an employee, working for a painting contractor, was prepping an exterior wall of a commercial structure. The employee was working from the second level of a scaffold. The employee fell approximately 17 feet into an opening between the scaffold plank and wall of the structure with a gap of approximately 28 inches. The employee was hospitalized and treated for a laceration to the back of the head, bruising to left shoulder, back and leg.

Keywords: Back, Construction, Contusion, Fall, Fall From Elevation, Head, Laceration, Leg, Scaffold, Shoulder

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition			3

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1521501.015	59	M	Non Hospitalized injury		Painters, construction and maintenance	Distance of Fall: 17 feet Worker Height Above Ground/Floor: feet Cause: Exterior painting Fatality Cause:

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