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Accident Report Detail

Accident Summary Nr: 143371.015 - Employee falls and is killed due to head injury

Accident Summary Nr: 143371.015 -- Report ID: 0854910 -- Event Date: 01/10/2022
Inspection NrDate OpenedSICNAICSEstablishment Name
1575105.01501/12/2022238130Maxfield Builders Llc

Abstract: At 9:30 a.m. on January 10, 2022, an employee installed rafters and was standing on two of the rafters as they collapsed. The employee fell approximately twelve feet and was killed by a head injury.

Keywords: Collapse, Fall, Fall From Elevation, Fall Protection, Head, Rafter
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 1575105.015 40 M Fatality Construction laborers Distance of Fall: 12 feet
Worker Height Above Ground/Floor: 12 feet
Cause: Forming
Fatality Cause:

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