Accident Report Detail

Accident Summary Nr: 15635.015 - Employee Killed In Scaffold Collapse

Accident Summary Nr: 15635.015 -- Report ID: 0626600 -- Event Date: 04/28/2012
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
409482.015	04/30/2012		238310	Ism Insulation

Abstract: At 08:30 a.m. on April 28, 2012, Employee #1 and Employee #2 were spraying foam insulation on a wall for a residential home that was under construction. Employee #1 was using a two tier mobile scaffold and a 12-foot ladder to reach the area which needed to be sprayed. Employee #1 placed the ladder on the second tier of the scaffold and Employee #2 was steadying the ladder. As Employee #1 pulled the hose for the foam insulation, the ladder slipped and fell to the ground along with the scaffold and both employees. Employee #1 fell approximately 20 feet and Employee #2 fell approximately 14 feet. Employee #1 struck his head against the concrete floor and died at the scene. Employee #2 was taken to the hospital where he was treated for internal injuries and a head laceration.

Keywords: Fall, Head, Laceration, Ladder, Scaffold Collapse

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$1,000,000 to $5,000,000		25	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	409482.015	29	M	Fatality		Insulation Workers	Distance of Fall: 20 feet Worker Height Above Ground/Floor: feet Cause: Fireproofing Fatality Cause:

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