Accident Report Detail

Accident Summary Nr: 154941.015 - Employee is killed in fall from roof

Accident Summary Nr: 154941.015 -- Report ID: 0418800 -- Event Date: 03/10/2023
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1659074.015	03/27/2023		339950	Forever Signs, Inc.

Abstract: At 10:05 a.m. on March 10, 2023, an employee was working on a narrow roof. The employee was not using the appropriate fall protection equipment. The employee fell from the roof. The employee was killed with injuries to the lower back, head, neck, and face.

Keywords: Back, Face, Fall, Fall From Elevation, Fall Protection, Head, Neck, Roof

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

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1659074.015	69	M	Fatality		Construction Laborer	Distance of Fall: 20 feet Worker Height Above Ground/Floor: feet Cause: Exterior masonry Fatality Cause:

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