Accident Report Detail

Accident Summary Nr: 141883.015 - Employee falls from scaffold and is killed by head injury

Accident Summary Nr: 141883.015 -- Report ID: 0625500 -- Event Date: 12/08/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1568346.015	12/13/2021		236115	Josue Flores

Abstract: At 10:45 a.m. on December 8, 2021, an employee worked from a mobile scaffold to tape and float a wall. The employee attempted to move the scaffold to reach out when a roller came off the scaffold, the employee lost balance, and fell approximately fourteen feet. The employee received a head injury and was killed.

Keywords: Fall, Fall From Elevation, Head, Lost Balance, Mobile Scaffold, Reach, Scaffold, Wall, Wheel

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition			2		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1568346.015	45	M	Fatality		Drywall installers	Distance of Fall: 14 feet Worker Height Above Ground/Floor: 14 feet Cause: Interior masonry Fatality Cause:

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